Ethiopia: Emergency nutrition quarterly bulletin (Third Quarter 2008)

Situation Report
Originally published




Figure 1

Survey Methodology: Between July and September 2008, seven surveys were conducted in SNNPR, Oromia and Afar Regions using the SMART methodology. Prior to implementation, all survey proposals were technically reviewed and approved by ENCU as part of efforts to standardize and quality control.

Sample sizes for the under-five study population ranged from 505 in Sidama zone (SNNPR) to 777 in West Hararghe zone (Oromia). The surveys in Sidama zone were done according to the livelihood profile while the remaining surveys were conducted within the administrative boundaries of the woredas. Anthropometric and mortality analyses were conducted using Emergency Nutrition Assessments (ENA) software (October 2007 version). WHO standard definitions were used to define malnutrition among under-five children and prevalence estimates 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, Excel and SPSS.

Key survey findings: Results from the seven surveys show a wide variation across woredas. Global Acute Malnutrition (GAM) ranged from 7.7 in Sidama to 23.4 percent in Hadiya while Severe Acute Malnutrition (SAM) ranged from 0.3 in Sidama to 4.5 in Teru woreda. Two surveys conducted in Sidama zones (SNNPR) indicated the situation to be acceptable; the remaining five surveys (three in SNNPR, one in Oromia and one in Afar) were classified as either serious or critical. Crude Death Rate (CDR) was above the emergency cut-off point (1/10,000/day) in Teru woreda. Under-five Death Rates (U5DR) were above the emergency cutoff point (2/10,000/day) in Konso Special Woreda and in Teru woreda (Afar). Crude and under-five death rates in the remaining woredas were far below the national and sphere standard cut off points mentioned above. The most prevalent child illnesses recorded included: Diarrhea, Acute Respiratory Infection (ARI), malaria and fever; accounted for between 10 and 40 percent of morbidity in Sidama and Konso woredas respectively. Measles, BCG and Vitamin A coverage varied significantly across the surveyed woredas in the three regions. Table 1 summarises the seven nutrition su