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Nutrition and Mortality SMART Survey in Khost province (June, 2015)

Subject/Objective: 
To estimate crude death rate and under five death rate To determine prevalence of acute and chronic malnutrition of 0-59 months children. To determine IYCF practice for children 0-23 months To determine the nutritional status of Pregnant and Lactating Women
Methodology: 
SMART, RNA methodologies
Key findings: 
The prevalence of Global Acute Malnutrition, based on MUAC < 125-115 mm and / or oedema, was 9.1 % (95 % CI: 6.3-13.0) and severe Malnutrition (MUAC < 115 mm) was 1.6 % (95 % CI: 1.0- 2.8). The prevalence of Chronic malnutrition (HAZ < -2 Score) was 30.8 % (95 %CI: 26.8-35.0) and severe stunting (HAZ < -3 score) was 12.2 % (95 % CI: 9.7-15.3), the results of the stunting in 3 districts of Khost indicated serious situation according to WHO classification. The prevalence of underweight, based on WAZ < -2 score, was 19.6 % (95 % CI: 16.8-22.8) and severe underweight (WAZ < -3 score) was 4.2 % (96 % CI: 2.9- 5.9). The results of underweight are alert according to WHO classification. The crude mortality rate (CMR) was 0.48/10000/day and under 5 years mortality rate (U5MR) was 0.71/10000/day. Both the CMR and under 5 mortality rates are below the WHO alert threshold 1/10,000/day and 2/10,000 respectively. Although the survey did not collect information on the causes of death, informal interviews with Health-net Afghanistan health management staff indicated that the main reason for high death of children under the age of 5 years in Khost are due to diarrhea, measles outbreaks, and pregnancy related complications. The overall morbidity rate was 20.2% among children 0-59 months, including fever (13 %), ARI (48 %) , Watery diarrhea (38%) and others diseases (1%) The coverage of measles vaccination (Children 9-59 months) was 84.4 %. Only 25.4 % cases were confirmed by cards and the other through the mother’s/ caregivers recall. The coverage of BCG vaccination (children 0 – 59 months) was 87.5 %. The survey indicates that the children in Khost province are under acute and chronic nutritional stress, especially chronic malnutrition. These require of immediate and appropriate public health interventions with focus on nutrition. The findings of this survey have important implications for policy-makers, public health planners and organizations seeking to meet national and international developmental targets.
Assessment Report: 
Publicly Available
Assessment Questionnaire: 
Available on Request
Assessment Data: 
Not Available
Webspace(s): 
Assessment Date(s): 
01 Jun 2015 to 30 Jun 2015

Level of Representation

District / Province / Locality / County
Status: 
Report completed
Unit(s) of Measurement: 
Community
Households
Individuals
Collection Method(s): 
Structured Interview
Key Informant Interview
Observation
Baseline data analysis
Population Type(s): 
Children
Cluster(s)/Sector(s): 
Leading/Coordinating Organization(s): 
Action against Hunger
Participating Organization(s): 
HealthNet TPO
Location(s): 
Khost