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Rapid Nutrition SMART Assessment in Gulan Refugee’s Camp, Gurbaz district (May 2016)

Subject/Objective: 

To estimate the Global Acute Malnutrition (GAM) prevalence among children aged between 6 to 59 months living in Gulan refugee camp.
 To estimate two weeks recall morbidity among children aged between 0 to 59 months living in Gulan refugee camp
 To estimate measles vaccination coverage among children aged between 9 to 59 months living in Gulan refugee camp.
 To estimate the maternal nutritional status and anti-tetanus toxin vaccination coverage among women of child bearing age (CBA) 15-49 years in Gulan refugee’s camp.

Methodology: 

The population to be assessed are considered as one settlement (camp). In this case, since the population of the camp is more than 200 families then a minimum required sample to get rapid but reliable estimations of under nutrition is fixed at 150 children. The selection of under-five was done using two-stage cluster sampling. The number of clusters was fixed at minimum of 25.

Key findings: 

 Prevalence of Global Acute Malnutrition (GAM) based on Weight-for-Height Z score was at 10.2% (7.3-14.2 95% CI) and SAM was at 2.4 % (1.2-5.1 95 % CI).
 Global Acute Malnutrition (GAM) based on MUAC was at 8.9% (6.5-12.1 95% CI) and SAM was at 2.2% (1.1- 4.3 95% CI).
 Combined GAM and SAM prevalence (combining all criteria: WHZ, MUAC and bilateral edema) was at 17.3% (95% CI 13.7-20.9) and 4.6 % (95% CI 2.6-6.6) respectively.
 No edema cases among under-fives were identified.
 Prevalence of stunting based on Height-for- Age Z score was at 49.6 % (43.4 - 55.9 95% C.I.) while severe stunting was 17.7 % (13.5-22.9 95 % CI).
 Prevalence of underweight based on Weight-for-age Z score was 24.3 % (18.1 - 31.7 95% C.I.).
 Maternal nutrition status of reproductive age (15-49 years) with MUAC<230 mm was at 17.1%.
 Incidence of reported ARI and Diarrhea among under-fives based on two-week recall was at 23.3% and 29.0% respectively.
 Measles vaccination coverage (based on both card and recall) was at 62.3%.

Sample size: 
A total of 250 households were assessed, 439 children aged (0-59 months), out of them 416 children aged 6-59 months.
Assessment Report: 
Assessment Questionnaire: 
Available on Request
Assessment Data: 
Available on Request
Operations(s)/Webspace(s): 
Assessment Date(s): 
16 May 2016
Status: 
Report completed
Population Type(s): 
Children under 5
Lactating women
Pregnant women
Cluster(s)/Sector(s): 
Leading/Coordinating Organization(s): 
Action against Hunger
Participating Organization(s): 
Afghanistan Center for Training and Development
United Nations High Commissioner for Refugees
Location(s): 
Gurbuz