South Sudan

Integrated Smart Nutritional Anthropometric Survey: Children Under Five Years of Age - First Draft Report, Terekeka County Central Equatoria Tate, South Sudan


March 26th -26th April 2014


Terekeka County is among the 6 counties of Central Equatoria State. It borders Mvolo and Munduri East Counties of Western Equatoria to the West. Awarial County, Lake State to the North, Bor South County, Jonglei State to the North East, Lafon County, Eastern Equatoria State to the East, and Juba County to the South. The County consists of 9 payams and 46 bomas. The payams are Terekeka, Tali, Tindilo, Muni, Nyori, Reggo, Rijiong, Tombek, and Gemeiza.

The area is naturally hilly and has one river (Joor) which act as fighting site in the county. The predominant livelihood system in Terekeka is sedentary agro-pastoralism, with the main focus being on both cattle keeping and farming of food crops, in addition, fishing forms an importance part of livelihood in the area as there is enough fish is the rivers existing in the area i.e. River Nile.

The available Health facilities are inaccessible to some households and inadequate to provide services to the vast majority of the population of the area. Most villages fall in distance area and could not be able to make it to the few available health facilities due to lack of transport. This has resulted to most children missing importance protection from immunization.

The overall objective of the integrated SMART survey in Terekeka County was to determine the levels of malnutrition among children aged 6-59 months and mortality among the wider population. In addition, the survey aimed to assess possible factors contributing to malnutrition such as IYCF practices, illnesses, water, sanitation and hygiene (WASH) practices and food security. Two nutrition survey but were rejected due to intolerable errors and this stand out to be an opportunity to know the nutritional situation in the area.