Nutritional Status in Hodeidah Lowland: A comparative analysis between August 2015 and March 2016

Originally published


Executive Summary

Due to the ongoing conflict, decades of food insecurity and multiple aggravating factors, the nutritional situation in Yemen remains dire. A SMART survey was implemented in Hodeidah lowlands to assess: 1) levels of acute malnutrition, stunting and underweight a month children aged 6-59 months; 2) child morbidity including suspected measles, diarrhoea, fever and acute respiratory infections; ARI); 3) measles and polio vaccination coverage among children; 4) determine food security status of households; 5) income status of household heads; 6) crude and under-five mortality rates; and 7) prevalence of exclusive breastfeeding among children under 6 months and complementary feeding among children 6 to 23 months.

In March 2016, a three-staged cross-sectional cluster survey was conducted. The survey methodology replicated the methodology used in August 2015 to ensure comparability. A comparative analysis was conducted between the 2015 survey and 2016 survey to assess whether indicators in Hodeideh were improving or deteriorating. The sample size was calculated to be representative at a Hodeidah lowlands level. The nutritional status of children was analysed using the WHO Child Growth.
In total, data were collected from a total of 549 households. From these households, data was obtained from 82 infants 0-6 months old, and 606 children 6 to 59 months (inclusive of 440 children 6-23 months).

Main findings from this survey, and the comparative analysis with 2015 survey data identified significant decreases for SAM (weight for height z-score: 8.9% to 3.3%) and GAM (31% to 21.7%), severe underweight (21.7% to 15.9%) and total loss of income (P = 0.000). However, significant increases were observed for partial loss of income (P = 0.002).
Overall, these findings will contribute towards shaping existing nutrition programmes in Hodeidah.
Further, findings will be used to advocate for continuation and adequate funding to support nutritional programmes as required.