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


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.


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
Assessment Date(s): 
16 May 2016
Report completed
Population Type(s): 
Children under 5
Lactating women
Pregnant women
Leading/Coordinating Organization(s): 
Action against Hunger
Participating Organization(s): 
Afghanistan Center for Training and Development
United Nations High Commissioner for Refugees