NAIROBI COUNTY SMART SURVEY REPORT FEBRUARY 2020 Supported by i TABLE OF CONTENTS LIST OF FIGURES ............................................................................................................................................... iii LIST OF TABLES ................................................................................................................................................. iii ACRONYMS ........................................................................................................................................................ iv ACKNOWLEDGEMENTS ...................................................................................................................................... v EXECUTIVE SUMMARY ...................................................................................................................................... vi 1.0: INTRODUCTION ............................................................................................................................................ 1 1.1: Background Information .................................................................................................................................. 1 1.2: Rationale of Survey ........................................................................................................................................... 2 2.0: SURVEY METHODOLOGY ............................................................................................................................. 3 2.1 Study Population ................................................................................................................................................. 3 2.3: Survey Design ..................................................................................................................................................... 3 2.4: Anthropometric Sample Size .......................................................................................................................... 3 2.6: Survey Organisation.......................................................................................................................................... 4 2.7: Questionnaire ...................................................................................................................................................... 5 2.9: Data Analysis ...................................................................................................................................................... 5 3.0: SURVEY FINDINGS ....................................................................................................................................... 6 3.1: HOUSEHOLD DEMOGRAPHICS ..................................................................................................................... 6 3.1.1 Characteristics of Respondents ................................................................................................................... 6 3.1.2 Gender of the children in the survey........................................................................................................... 6 3.1.3 Caregivers’ level of education and school enrolment ............................................................................ 6 3.1.5: Marital Status ................................................................................................................................................... 7 3.1.5: Households’ head main source of income and livelihood .................................................................. 7 3.2 NUTRITION STATUS OF CHILDREN ............................................................................................................... 8 3.2.1 Prevalence of acute malnutrition based on weight-for-height z-score. ............................................. 8 3.2.2 Prevalence of Acute malnutrition by MUAC .............................................................................................. 9 3.2.3 Prevalence of underweight ..........................................................................................................................10 3.2.4 Prevalence of stunting. .................................................................................................................................10 3.2.5 Prevalence of Overweight. ...........................................................................................................................11 3.3 ACCESS AND UTILIZATION OF HEALTH AND NUTRITION SERVICES...............................................12 3.3.1 Vitamin A supplementation .........................................................................................................................12 3.3.2 Deworming .......................................................................................................................................................13 3.3.2 Child Immunizations ......................................................................................................................................13 3.3.3 Morbidity ..........................................................................................................................................................14 3.3.4 Health Seeking Behaviour ...........................................................................................................................15 3.4 WATER AND SANITATION ..............................................................................................................................15 3.4.1 Main source of water .....................................................................................................................................15 Figure 10: Main source of water ...........................................................................................................................16 3.4.2 Water Consumption .......................................................................................................................................16 3.4.3 Access of Water .............................................................................................................................................17 3.4.4 Access to Sanitation Facility .......................................................................................................................17 3.4.5 Water Treatment and Hand washing .........................................................................................................18 3.4.6 Payment and Water Storage ........................................................................................................................18 3.5: Ownership of mosquito net ...........................................................................................................................19 3.6 MATERNAL NUTRITION ...................................................................................................................................19 3.6.1: Maternal Nutrition Status ............................................................................................................................19 3.6.2 IFAS Supplementation ..................................................................................................................................19 3.7 FOOD SECURITY ...............................................................................................................................................20 3.7.1 Minimum Dietary Diversity (24-Hour Recall)-Women............................................................................20 3.7.2 Minimum Dietary Diversity for Women .....................................................................................................21 3.7.3 Household Dietary Diversity (24 hour Recall) .........................................................................................22 3.7.4 Average days food groups are consumed showing consumption of micronutrients ..................22 3.7.5 Food Consumption Score ............................................................................................................................23 3.8 Food Fortification ..............................................................................................................................................23 ii 3.9 Coping Strategy Index ......................................................................................................................................24 4.0: Conclusions................................................................................................................................................ 25 APPENDICIES.................................................................................................................................................... 27 Appendix 1: Plausibility Results ..........................................................................................................................27 Appendix 2: Calendar Of Local Events ..............................................................................................................28 Appendix 4: Questionnaires ..................................................................................................................................30 LIST OF FIGURES Figure 1: Administrative map ......................................................................................................................................... 1 Figure 2: Admission trends of OTP anD sfp .................................................................................................................