Nutrition & Mortality Survey in Aden Governorate September 2012

Implemented by: Nutrition Department & Aden Governorate Public Health and Population Office With Support of: UNICEF & ECHO

Objectives

Overall objective To establish accurately the nutrition situation in Aden Governorate, determine some of the factors influencing malnutrition.

Specific objectives To estimate the level of acute malnutrition (wasting), stunting and underweight among children aged 6-59 months in Aden Governorate. To identify factors influencing nutrition status of the children in Aden including disease prevalence and access to essential services. To estimate the prevalence of some common diseases (measles, diarrhoea, fever and ARI) in the Governorate. To estimate the measles and polio vaccination and Vitamin A supplementation coverage among children in the Governorate. To estimate the crude and under-five mortality rates in the Governorate.

Specific objectives To determine the average households who did reduce meal size, lower number of meals, sleep hungry, use debts to buy food, and lower expenditures in health and education to buy food. To estimate the prevalence of using adequately iodized salt in the Governorate.

Sampling and quality

Sample size and design ParametersFor Anthropometry Estimated Acute Malnutrition Prevalence (%)15 Desired Precision (%)3 Design Effect1.5 Average Household Size6.3 Under 5 year old (%)13.2 Non response household (%)3 Sample Size (N)1224 Households surveyed1221 Children surveyed1126

Sample size and design ParametersFor Mortality Estimated Death Rate (per 10000/day)0.18 Desired Precision (per 10000/day)0.15 Design Effect2 Average Household Size6.3 Recall period in days90 Non response household (%)3 Sample Size (N)1217 Households surveyed1221

Quality concern Small number of teams with focus training. Standardization of measurers. Field test before conduct the data collection. Intensive supervision at field. Daily check for the quality. Data entry verification

Quality concern

Plausibility check

Findings Household characteristics

Household size Mountainous N% Total Households1215/ Household size (Mean):7.37 Mean No of Underfives1.02 Girls (%):554 (49.2%) Boys (%):572 (50.8%)

Household head gender

Household caretaker education

Household main income source

Household main drinking water source

Household drinking water containers cleanness

Latrine type

Where health service sought

Food security

Salt iodization

Findings Children aged 6 – 59 months

Measurements taken

Acute Malnutrition (Wasting)

mean±SD of WHZ (n=1094) : -1.09±1.01

Acute Malnutrition- Case load

Underweight

mean±SD of WAZ (n=1099) : -1.29±1.02

Chronic malnutrition (Stunting)

mean±SD of HAZ (n=1086) : -0.97±1.07

Compare with other surveys

Feeding practices

Vaccination and vitamin A supplementation

Morbidity

Sleep under mosquito net

Findings Mortality

Crude and underfive death rates Underfive crude Per per day

Pyramids

Thanks

Questions