1. Nutrition & Mortality Survey in Aden Governorate September 2012

2. Implemented by: Nutrition Department & Aden Governorate Public Health and Population Office With Support of: UNICEF & ECHO

3. Objectives

4. Overall objective To establish accurately the nutrition situation in Aden Governorate, determine some of the factors influencing malnutrition.

5. Specific objectives To estimate the level of acute malnutrition (wasting), stunting and underweight among children aged 6-59 months in Aden Governorate. To identify factors influencing nutrition status of the children in Aden including disease prevalence and access to essential services. To estimate the prevalence of some common diseases (measles, diarrhoea, fever and ARI) in the Governorate. To estimate the measles and polio vaccination and Vitamin A supplementation coverage among children in the Governorate. To estimate the crude and under-five mortality rates in the Governorate.

6. Specific objectives To determine the average households who did reduce meal size, lower number of meals, sleep hungry, use debts to buy food, and lower expenditures in health and education to buy food. To estimate the prevalence of using adequately iodized salt in the Governorate.

7. Sampling and quality

8. Sample size and design ParametersFor Anthropometry Estimated Acute Malnutrition Prevalence (%)15 Desired Precision (%)3 Design Effect1.5 Average Household Size6.3 Under 5 year old (%)13.2 Non response household (%)3 Sample Size (N)1224 Households surveyed1221 Children surveyed1126

9. Sample size and design ParametersFor Mortality Estimated Death Rate (per 10000/day)0.18 Desired Precision (per 10000/day)0.15 Design Effect2 Average Household Size6.3 Recall period in days90 Non response household (%)3 Sample Size (N)1217 Households surveyed1221

10. Quality concern Small number of teams with focus training. Standardization of measurers. Field test before conduct the data collection. Intensive supervision at field. Daily check for the quality. Data entry verification

11. Quality concern

15. Plausibility check

16. Findings Household characteristics

17. Household size Mountainous N% Total Households1215/1221 99.5 Household size (Mean):7.37 Mean No of Underfives1.02 Girls (%):554 (49.2%) Boys (%):572 (50.8%)

18. Household head gender

19. Household caretaker education

20. Household main income source

21. Household main drinking water source

22. Household drinking water containers cleanness

23. Latrine type

24. Where health service sought

25. Food security

26. Salt iodization

27. Findings Children aged 6 – 59 months

28. Measurements taken

31. Acute Malnutrition (Wasting)

32. mean±SD of WHZ (n=1094) : -1.09±1.01

33. Acute Malnutrition- Case load

34. Underweight

35. mean±SD of WAZ (n=1099) : -1.29±1.02

36. Chronic malnutrition (Stunting)

37. mean±SD of HAZ (n=1086) : -0.97±1.07

38. Compare with other surveys

39. Feeding practices

40. Vaccination and vitamin A supplementation

41. Morbidity

42. Sleep under mosquito net

43. Findings Mortality

44. Crude and underfive death rates Underfive crude 0.16 0.18 Per 10000 per day

45. Pyramids

46. Thanks

47. Questions