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MAKUENI COUNTY

SMART SURVEY March,2012. MAKUENI COUNTY. Objective of MAKUENI SMART SURVEY. Determine the prevalence of acute malnutrition in children aged 6-59 months. Determine the Crude and under five mortality rates amongst the population.

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MAKUENI COUNTY

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  1. SMART SURVEY March,2012 MAKUENI COUNTY

  2. Objective of MAKUENI SMART SURVEY • Determine the prevalence of acute malnutrition in children aged 6-59 months. • Determine the Crude and under five mortality rates amongst the population. • Determine the coverage of specific immunization and micronutrient supplementation amongst targeted groups. • To determine possible immediate and underlying causes of malnutrition to include health, food security and livelihood

  3. Survey areas covered The survey covered three districts and five divisions namely: Kibwezi, Makindu, Kathonzweni districts and Kalawa, Nguu, Mulala, Malili, Kiou Divisions. These areas were identified based on similarity of livelihood zones (Marginalized mixed farming)

  4. Map of the study area

  5. SAMPLING DESIGN TWO STAGE CLUSTER SAMPLING (PPS) First stage- clusters selected using PPS sampling methodology • Obtain population of the survey sites was obtained to the smallest geographical unit, being a village. • Enter data into the ENA software alongside the planning information. Based on the desired precision, prevalence and design effect • Cluster assignment proportion to population size. Second stage-households/children (11HH/cluster)- selected through simple random sampling • Obtain a list of HH from village elder • Identify sampling interval • Randomly select a starting point • Select 11 households through simple random sampling

  6. PLAUSIBILITY CHECK

  7. Plausibility check continued….

  8. Demographic Characteristics

  9. MALNUTRITION RATE TRENDS

  10. MAKUENI MARCH 2012: NUTRITION STATUS WHO 2006

  11. RESULTS MORTALITY

  12. Measles Immunization Coverage IRON SUPPLEMENTATION • Proportion of women supplemented with iron in the last pregnancy; 80.1%

  13. Percentage of 2-5 years old de-wormed in the last 6 months 37.0% Immunization and Vitamin A supplementation coverage • Negligible percentage • Third dose in most cases was given during illness to boost a child’s immunity. • ?? Possible impact of Malezi bora

  14. Infant and Young child feeding practices Even though triangulation of this was done, results are above the national target of 50.0% and believed to be more of knowledge rather than practice

  15. IYCN Continued............

  16. Morbidity rates Among Children 0-59 months old sick preceding two week survey dates Others include skin infection, chicken pox, swollen neck Significant Increase

  17. General hand washing Practices Even though high (99.3%) proportion wash hand, appropriate hand washing at critical times to break contamination route was wanting as illustrated

  18. HAND WASHING TIMES COMMENT: Significant difference probably contributing to increase in diarrheal incidences

  19. Distance to water source

  20. Water treatment

  21. Households Mosquito bed net ownership and utilization

  22. Household Dietary Diversity Score (HDDS)

  23. HOUSEHOLD FOOD SOURCES MAIN FOOD SOURCE

  24. Summary of general findings No significant increase or decrease in GAM and SAM Significant increase in levels of stunting; long term indicator of malnutrition Significant increase in diarrhoeal incidence; probably attributed to a significant decrease at specific hand washing times specifically before breastfeeding Main source of food being purchase against a background of high food prices WASH: General increase in queue times, distance to water sources leading to subsequent decline in per capita water consumption RAINFALL PATTERNS: During the last survey period, the rains had begun and were evident during the survey. However, only scattered rains were seen HARVEST:

  25. Possible recommendations for discussion Nutrition Strengthen linkages with other sectors such as WASH to help improve nutrition outcomes that contribute to long term malnutrition (high stunting levels) Food Security & livelihood Promoting high value traditional crops and timely supply of certified seeds (GOK) Market linkage and value addition should be entrenched in a cottage industry in the village for economic growth and income generation The water resources (permanent rivers) need to be tapped for irrigation farming (GOK) Water sanitation & Hygiene Strengthen public health promotion on appropriate hand washing and water treatment practices (GOK)

  26. Recommendations cont...... Water sanitation & Hygiene Strngthen public health promotion on appropriate hand washing and water treatment practices (GOK)

  27. Any questions/queries/ inputs?

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