Sudan

Sudan: Nutritional anthropometric survey children under 5 years old final report - Awul, Warrap, Man Alor, Kiirik and Pagol Payams, Tonj North County, Warrap State 15 Nov - 6 Dec 2007

Attachments


TABLE OF CONTENTS

I. EXECUTIVE SUMMARY

II. INTRODUCTION

III. OBJECTIVES

IV. METHODOLOGY
- Type of Survey and Sample Size
- Sampling Methodology
- Data Collection
- Indicators, Guidelines, and Formula's Used

Acute Malnutrition
Mortality
  • Field Work
  • Data Analysis

V. RESULTS OF THE QUALITATIVE ASSESSMENT
- Socio- demographic Characteristics of the Respondents
- Food Security
- Health
- Water and Sanitation
- Maternal and Child care practices
- Education
- Actions Taken by NGO's and other partners

VI. RESULTS OF THE ANTHROPOMETRIC SURVEY

- Distribution by Age and Sex
- Anthropometrics Analysis

Acute Malnutrition, Children 0-59 months of Age
Risk of Mortality: Children's MUAC
  • Measles Vaccination Coverage
  • Household Status
  • Composition of the Households

VII. RESULTS OF THE RETROSPECTIVE MORTALITY SURVEY
- Mortality Rate

VIII. CONCLUSION

IX. RECOMMENDATIONS

X. APPENDIX
- Sample Size and Cluster Determination
- Anthropometric Survey Questionnaire
- Household enumeration data collection form for a death rate calculation survey (one sheet/household)
- Enumeration data collection form for a death rate calculation survey (one sheet/cluster)
- Calendar of events Kwanythii payams, Tonj North County-Warrap state
- Food market prices- Kwanythii payams, Tonj North County
- Primary schools in Tonj North County- Kwanythii payams

I. EXECUTIVE SUMMARY

INTRODUCTION

Tonj North County situated in Warrap state borders Tonj South to the South, Tonj East to the East, Gogrial East County to the North and Wau County to the West. It is composed of 37 bomas and 10 payams namely; Alabek, Aliek, Pagol, Man Alor, Awul, Warrap, Kiirik, Akop, Rualbet and Marial Lou. The total population was estimated at 540,000.(1)

The county is endowed with rich black cotton soil, sandy soil patches and a flat low lying terrain. "Sudan" grass, palm trees, Acacia senegalis among various other thorny tree species were the predominant vegetative cover. River Pagol is an important source of livelihood to communities living around its course.

The nutrition survey was undertaken in five of the ten payams of Tonj North County known as Kwanythii (Warrap, Awul, Man Alor, Pagol and Kiirik). The accessible population was estimated at 77,690.

FEWSNET August 2007 reported slightly below to near normal rains in Western Flood Plains and Ironstone Plateau livelihood zones. Cumulative rainfall from June 1 to August 10 this year was similar to or greater than rainfall in the same period of 2006. Tonj North County did not experience severe floods and crop losses that were reported in counties like Gogrial and Aweil West.

Past nutrition surveys undertaken in Tonj County indicated above emergency GAM rates during the dry hunger gap season as shown in figure 1 below. The high rates were associated to food insecurity, insufficient health service coverage as well as inadequate water, hygiene and sanitation practices.


Figure 1: Malnutrition trends in Tonj North County (April 2003- February 2006)


Past malnutrition trends, expected population returns and the need to monitor various program interventions in the area necessitated ACF-USA and World Vision International (WVI) to undertake a nutrition survey in the area with the following specific objectives.

- To evaluate the nutritional status of children aged between 6 to 59 months.

- To estimate the measles immunization coverage of children aged 9 to 59 months.

- To estimate the crude mortality rate through a retrospective survey.

- To determine immediate, underlying and basic factors influencing the nutrition situation of the community.

Note:

(1) Source: SSRRC Tonj County Office, November 2007