A 23 by 33 cluster nutrition survey using the SMART methodology was conducted by GOAL in Silti woreda in March 2007 to serve as an end line evaluation of its CTC programme that had been implemented for eight months and handed over to the woreda health sector in January 2007. A total of 763 children aged 6-59 months were surveyed. Retrospective mortality information was collected from 2690 individuals using 90 days recall period. The Data were analysed using Nutrisurvey SMART software.
Nutrition: The prevalence of GAM was estimated at 8.9 percent with 0.7 percent Severe Acute Malnutrition (SAM) while bilateral oedema was 0.1 percent. GAM was relatively higher among young (6-29 months) than among older children (30-59 months). Compared with May 2006 survey results with GAM of 12.2 percent, the level of malnutrition in 2007 had decreased though not statistically significant. The prevalence of malnutrition was classified as poor based on the national assessment guideline and typical in Ethiopian context.
Health: Mortality rates with CMR at 0.11/10,000/day and under five mortality rate at 0.16/10,000/day fell below the average levels for developing countries. Both crude and under five death rates had decreased compared to the May 2006 levels of 0.46 and 0.94/10,000/day respectively. Morbidity in children was estimated at 23.9 percent with acute watery diarrhea being top on the list of morbidities. Immunization coverage for BCG was 57.3 percent and measles 75.1 percent. Vitamin A coverage was generally higher at 95.0 percent. About 10 percent of the population has access to safe drinking water.
Livelihood/Food Security: According to the SNNPR Livelihood Profiles by FewsNet in January 2006, large portion of the woreda lies within Alaba-Mareko Lowland Pepper LZ. It was reported that at the time of the survey the food security situation was satisfactory. The woreda received adequate rain during previous meher & the current belg seasons. The communities interviewed rated the livestock and pasture conditions as average (42.4 percent) and good (63.6 percent) respectively.
Conclusion & Recommendations:
The prevalence of global acute malnutrition (8.9 percent) was relatively lower than in 2006 at the same season indicating an improvement. Mortality was within acceptable limits. This was an indication of the normal food security situation in the woreda at the time of the survey. However, there was no improvement in vaccination coverage. Access to clean water remained a concern to be addressed in the woreda. It was recommended to improve vaccination coverage and assure proper close monitoring during the upcoming hunger season.