- NUTRITION ASSESMENT
1.1 STANDARD NUTRITION SURVEYS
Survey Methodology: During the fourth quarter (Sept-Dec 2008) a total of 16 surveys were conducted in Ethiopia SNNPR (9), Oromia (1) and Amhara (5) using the SMART methodology. Three of them were triggered by emergency situation and the remaining were either monitoring or end line surveys. Prior to implementation, all survey proposals were technically reviewed and approved by ENCU as part of routine ENCU's quality control and standardization of emergency assessments in Ethiopia.
Sample sizes for the under-five study population ranged from 554 in Damot Pulassa to 871 in Boloso Sore woredas respectively in Wolayta Zone in SNNPR. All the surveys were conducted within the administrative boundaries of the respective woredas. Anthropometric and mortality analyses were conducted using Emergency Nutrition Assessments (ENA) for SMART software (October 2007 version). WHO1 anthropometric standard definitions were used to define cases of malnutrition among under-five children. Point prevalence estimates with their 95% CI were reported using NCHS references. Vitamin A supplementation, measles coverage, morbidity, MUAC measurements and food security information was analyzed using other software like EPI Info and SPSS.
Key survey findings: The survey findings are divided in two main groups depending on the purpose of the assessments: First, emergency surveys triggered by worsening nutrition situation reported by partners and woreda authorities and second, either monitoring or end line surveys following emergency nutrition interventions. Results from the 9 monitoring surveys conducted in SNNP indicated significant reduction in levels of malnutrition compared to baseline levels before the interventions were initiated. Global Acute Malnutrition (GAM) ranged from 3.7 in Hawasa to 8.1 percent in Bona woredas respectively. Similarly, Severe Acute Malnutrition (SAM) had significantly decreased. The results ranged from 0.1 (95%C.I. 0.0- 0.4) in Damot gale to 0.7 (95% C.I. 0.0 - 1.15) in Damot Pulassa. Monitoring surveys results in the woredas in SNNPR were classified as typical in the Ethiopian context according to national emergency nutrition assessment guidelines. One survey in Amhara d