STANDARDISED EXPANDED NUTRITION SURVEY (SENS) Awbarre, Kebribeyah and Sheder refugee camps In Jijiga, Ethiopia Somali Region Surveys conducted: 4th to 26th December 2017 Report completed: May 2018 TABLE OF CONTENTS STANDARD EXPANDED NUTRITION SURVEY (SENS) AT ........................................................ 1 AWBARRE, KEBRIBEYAH AND SHEDER REFUGEE CAMPS ..................................................... 1 IN SOMALI-ETHIOPIA REGION ............................................................................................ 1 1. EXECUTIVE SUMMARY .............................................................................................. 10 1.1. INTERPRETATION OF RESULTS ..................................................................................... 16 1.1.1. Global Acute Malnutrition .................................................................................... 16 1.1.2. Stunting or chronic malnutrition .......................................................................... 17 1.1.3. Programme enrolment coverage ......................................................................... 17 1.1.4. Anaemia among children aged 6-59 months and non-pregnant women 15-49 years 17 1.1.5. Infant and young child feeding practices ............................................................. 18 1.2. PUBLIC HEALTH RELATED ................................................................................................... 18 1.2.1. Program coverage ................................................................................................ 18 1.2.2. Food security ........................................................................................................ 19 1.2. WASH ........................................................................................................................... 19 1.3. MORTALITY ..................................................................................................................... 19 1.4. KEY POINTS ..................................................................................................................... 19 2. INTRODUCTION ........................................................................................................ 21 2.1. HEALTH AND NUTRITION SERVICES ...................................................................................... 21 2.2. HEALTH SERVICES ............................................................................................................. 21 2.3. NUTRITION SERVICES ........................................................................................................ 21 2.4. FOOD SECURITY ............................................................................................................... 21 2.5. DEMOGRAPHY ................................................................................................................. 22 2.6. OBJECTIVES OF THE SURVEY ........................................................................................ 22 2.6.1. Primary objectives ................................................................................................ 22 2.6.2. Secondary objectives: ........................................................................................... 23 2.7. METHODOLOGY........................................................................................................... 23 2.7.1. Study Areas .......................................................................................................... 23 2.7.2. Study Population .................................................................................................. 23 2.7.3. Study design ......................................................................................................... 23 2.7.4. Sample size ........................................................................................................... 23 2.7.5. Sampling procedure ............................................................................................. 24 2.7.6. Questionnaires ..................................................................................................... 24 2.7.7. Measurement methods ........................................................................................ 24 2.7.8. Mortality .............................................................................................................. 26 2.8. MALNUTRITION IN CHILDREN 6-59 MONTHS ........................................................................ 26 2.8.1. Acute malnutrition: .............................................................................................. 26 2.8.2. Stunting (HFA):.................................................................................................... 26 2.8.3. Underweight: ....................................................................................................... 27 2.8.4. Mid Upper Arm Circumference (MUAC): .............................................................. 27 2.8.5. Child enrolment in selective feeding programme for children 6-59 months: ....... 27 2.8.6. Infant and young child feeding practices in children 0-23 months ...................... 27 2.8.7. Anaemia in children 6-59 months and women of reproductive age: ................... 29 2.9. CLASSIFICATION OF PUBLIC HEALTH PROBLEMS AND TARGETS .................................................. 29 2.10. ANTHROPOMETRIC DATA ............................................................................................... 29 2.11. SELECTIVE FEEDING PROGRAMMES: ................................................................................. 30 2.12. MEASLES VACCINATION COVERAGE ................................................................................. 30 2.13. VITAMIN A SUPPLEMENTATION COVERAGE ....................................................................... 30 2.14. ANAEMIA DATA ............................................................................................................ 30 2.15. WASH ....................................................................................................................... 30 2.16. TRAINING, COORDINATION AND SUPERVISION ................................................................... 30 2.17. DATA ANALYSIS ............................................................................................................ 31 2.18. PRESENTATION OF RESULTS .................................................................................... 31 3. AWBARRE CAMP....................................................................................................... 32 3.1. DEMOGRAPHY ................................................................................................................. 32 3.2. ANTHROPOMETRIC RESULTS (BASED ON WHO GROWTH STANDARDS 2006) ............................ 33 3.3. FEEDING PROGRAMME COVERAGE RESULTS .......................................................................... 38 3.4. VITAMIN A SUPPLEMENTATION COVERAGE RESULTS ............................................................... 39 3.5. DIARRHOEA RESULTS ........................................................................................................ 40 3.6. ANAEMIA RESULTS ........................................................................................................... 41 3.7. CHILDREN 0-23 MONTHS .................................................................................................. 43 3.8. PREVALENCE OF INTAKE .................................................................................................... 44 3.8.1. Infant formula ...................................................................................................... 44 3.8.2. Fortified blended foods ........................................................................................ 44 3.9. WOMEN 15-49 YEARS ..................................................................................................... 44 3.10. FOOD SECURITY ............................................................................................................ 46 3.10.1 Negative coping strategies results ....................................................................... 46 3.10.2 Household dietary diversity results ...................................................................... 47 3.11 WASH ....................................................................................................................... 49 4. KEBRIBEYAH CAMP ................................................................................................... 51 4.1. DEMOGRAPHY ................................................................................................................. 51 4.2. ANTHROPOMETRIC RESULTS (BASED ON WHO GROWTH STANDARDS 2006) ............................ 52 4.3. MORTALITY RESULTS ........................................................................................................ 57 4.4. FEEDING PROGRAMME COVERAGE RESULTS .......................................................................... 57 4.5. MEASLES VACCINATION COVERAGE RESULTS ......................................................................... 57 4.6. VITAMIN A SUPPLEMENTATION COVERAGE RESULTS ............................................................... 58 4.7. DIARRHOEA RESULTS ........................................................................................................ 58 4.8. ANAEMIA RESULTS ..........................................................................................................