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Nutrition and Mortality SMART survey in Laghman province (Dec, 2015)


The overall survey objective was to evaluate the nutritional status of vulnerable groups mainly children less than five years of age in the five districts of Laghman province and study factors contributing to it.


A two-stage cluster sampling methodology was applied. In the first stage clusters/villages were randomly selected from total list of villages (375) in the five districts (with exception of insecure villages) using Probability Proportionate to Size (PPS) design. ENA for SMART software was applied and automatically selected the list of villages representing the clusters and Reserve Clusters (RC) to be used in case more than 10% of total villages would not be accessible.

Key findings: 

1023 children from 0-59 were sampled; out of them 925 were children 6-59.
 Global Acute Malnutrition (GAM) and Severe Acute Malnutrition (SAM) prevalence based on Weight-for-Height (WHZ) was of 9.8 % (95%CI 7.6-12.5) and 2.3% (95%CI 1.5-3.6) respectively.
 GAM and SAM prevalence based on Mid Upper Arm Circumference (MUAC) was 10.1% (95% CI 7.7-13.1) and 2.2% (95% 1.2-3.9) respectively.
 Combined GAM prevalence( by WHZ <-2 z-scores and/or MUAC<125 mm and/or the presence of bilateral oedema) is 16.8% (14.3-19.2 95% C.I.) and SAM of 5.7% (95%CI 4.2-7.2) respectively
 Crude Death Rate (CDR) and Under-five Death Rate (U5DR) was 0.22 (95% CI 0.12-0.41) and 0.98 (95% CI: 0.48-1.99) deaths/10,000/day respectively.
 Prevalence of stunting was of 47.8 % (95 %CI: 43.3-52.3) and severe stunting was of20.8 % (17.1-25.1 95% CI) respectively.
 Prevalence of underweight was 30.2% (25.5-35.4 95% CI) and severe underweight was 9.8% (7.4-12.9 95% CI) respectively
 Major illnesses or symptoms among children from 0-59 months 2 weeks prior the survey were Acute Respiratory Infections (56,2%) Fever (47,2%) and diarrhea (14,1%).
 Deworming was low (51,7%) while vitamin A supplementation (80,5%), measles (93,5%), BCG (97,4%) and Polio (97,2%) vaccination coverage was found good.

Sample size: 
902 children
Assessment Report: 
Publicly Available
Assessment Questionnaire: 
Available on Request
Assessment Data: 
Available on Request
Assessment Date(s): 
24 Dec 2015

Level of Representation

District / Province / Locality / County
Report completed
Unit(s) of Measurement: 
Collection Method(s): 
Structured Interview
Population Type(s): 
Children under 5
Lactating women
Pregnant women
Leading/Coordinating Organization(s): 
Action against Hunger