JOINT STANDARDIZED EXPANDED NUTRITION SURVEY FINAL REPORT (AYSAITA AND BERHALE) REFUGEE CAMPS AFAR REGION – ETHIOPIA SURVEYS CONDUCTED: 22nd AUG – 3rd SEPT 2017 REPORT COMPLETED: NOVEMBER 2017 Jointly coordinated by UNHCR, WFP, ARRA and GOAL TABLE OF CONTENTS CONTENTS TABLE OF CONTENTS ............................................................................................................ 2 LIST OF TABLES ..................................................................................................................... 4 LIST OF FIGURES .................................................................................................................... 6 ABBREVIATIONS AND ACRONYMS ........................................................................................ 7 ACKNOWLEDGEMENTS ......................................................................................................... 8 EXECUTIVE SUMMARY ........................................................................................................... 9 OBJECTIVES OF THE SURVEY .............................................................................................................. 9 SECONDARY OBJECTIVES: .................................................................................................................. 9 METHODOLOGY .............................................................................................................................. 10 SUMMARY OF KEY FINDINGS .............................................................................................. 16 INTRODUCTION ................................................................................................................... 21 NUTRITION SITUATION ............................................................................................................ 21 FOOD SECURITY.......................................................................................................................... 21 HEALTH ........................................................................................................................................ 22 WASH ............................................................................................................................................ 22 SURVEY OBJECTIVES ............................................................................................................ 23 SECONDARY OBJECTIVES: ................................................................................................................ 23 METHODOLOGY .............................................................................................................................. 23 SAMPLE SIZE ................................................................................................................................... 24 QUESTIONNAIRE AND MEASUREMENT METHODS ............................................................ 24 QUESTIONNAIRE ............................................................................................................................. 24 MEASUREMENT METHODS.................................................................................................. 25 HOUSEHOLD-LEVEL INDICATORS ..................................................................................................... 25 INDIVIDUAL-LEVEL INDICATORS ...................................................................................................... 26 CASE DEFINITIONS, INCLUSION CRITERIA AND CALCULATIONS ...................................... 28 1.3.5 Classification of public health problems and targets ......................................... 32 Training, coordination and supervision ............................................................................. 34 Data Collection and Analysis ................................................................................................. 34 RESULTS FROM AYSAITA CAMP .......................................................................................... 34 ANTHROPOMETRIC RESULTS (BASED ON WHO GROWTH STANDARDS 2006) ................................ 35 Mortality results ..................................................................................................................... 42 Feeding programme coverage results ................................................................................. 42 Measles vaccination coverage results Aysaita ................................................................... 42 Vitamin A supplementation coverage results .................................................................... 43 Diarrhoea ................................................................................................................................. 43 Anaemia results ...................................................................................................................... 44 2 | P a g e CHILDREN 0-23 MONTHS ................................................................................................................ 45 Prevalence of intake ANALYSIS ............................................................................................. 46 WOMEN 15-49 YEARS .................................................................................................................... 47 Women physiological status ................................................................................................. 47 Anaemia Results ...................................................................................................................... 47 FOOD SECURITY .............................................................................................................................. 49 Negative coping strategies results ....................................................................................... 49 Household dietary diversity results ..................................................................................... 50 WASH information .................................................................................................................. 51 ANTHROPOMETRIC RESULTS (BASED ON WHO GROWTH STANDARDS 2006) ................................ 54 Mortality results ..................................................................................................................... 62 Feeding programme coverage results ................................................................................. 62 Measles vaccination coverage results ................................................................................. 63 Vitamin A supplementation coverage results .................................................................... 63 Diarrhoea results .................................................................................................................... 64 Anaemia results ...................................................................................................................... 64 CHILDREN 0-23 MONTHS ................................................................................................................ 66 Prevalence of intake Analysis ............................................................................................... 67 Women physiological status ................................................................................................. 68 Anaemia Results ...................................................................................................................... 68 FOOD SECURITY .............................................................................................................................. 69 Negative coping strategies results ....................................................................................... 70 Household dietary diversity results ..................................................................................... 71 WASH information .................................................................................................................. 72 NUTRITION ..................................................................................................................................... 75 FOOD SECURITY .............................................................................................................................. 76 HEALTH .......................................................................................................................................... 76 WASH ............................................................................................................................................ 76 REFERENCES ........................................................................................................................ 79 APPENDICES ......................................................................................................................... 80 APPENDIX 1: PLAUSIBILITY CHECK FOR AYSAITA CAMPS ................................................................... 80 APPENDIX 2: PLAUSIBILITY CHECK FOR BERHALE CAMP .................................................................... 82 APPENDIX 5. QUESTIONNAIRE .......................................................................................................... 85 3 | P a g e LIST OF TABLES Table 1: Afar Camps 2017 SENS Summary of Key Findings .................................................. 12 Table 2: Classification of Public Health Significance for Children Under 5 Years of Age 16 Table 3: Classification of public health significance ..............................................................