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Emergency Nutrition Assessment Round-3 (Preliminary Results)


Emergency Nutrition and Health Assessment Round 3



Key findings: 

The Emergency Nutrition Assessment Round 3 was conducted from October 20th to November 8th, 2018 in Cox’s Bazar, Bangladesh as a multi-agency exercise carried out on behalf of the Nutrition Sector. Consisting of two independent SMART surveys, the objective was to assess the nutrition status of the Rohingya women and children living in camps in Ukhia and Teknaf Upazilas. The first nutrition survey was conducted in the Makeshift Settlements (estimated population 861 570) and the second survey in Nayapara Registered Camp (estimated population 26 999).

Led by Action Against Hunger (ACF) with additional technical support from the Technical Rapid Response Team (Tech RRT) in collaboration with the Government of Bangladesh Ministry of Health and Family Welfare through the Cox’s Bazar District Civil Surgeon’s Office and Office of the Refugee Relief and Repatriation Commissioner and funded by UNHCR, WFP, UNICEF, SIDA, SDC, DFID, ECHO,

Data was collected on household demography, anthropometry, mortality, morbidity, nutrition supplementation, and food assistance. The assessment monitored the crisis’ evolving nutrition situation through comparison with the SMART surveys Round 1 conducted in Oct-Nov 2017 and Round 2 conducted in April-May 2018. All households were included regardless of registration status or date of arrival in Bangladesh.

Findings indicate the prevalence of Global Acute Malnutrition (GAM) among children aged 6-59 months using weight-for-height (WHZ) has slightly decreased in Makeshift Settlements, from 12.0% in Round 2 to 11.0% in Round 3 and in Nayapara Registered Camp from 13.6% in Round 2 to 12.1% in Round 3 but the level of reduction is very modest and insignificant.. Although the prevalence of acute malnutrition in both camps is below the WHO emergency thresholds(15%) findings still depict a serious nutrition state of the Rohingya children. .

Chronic malnutrition (stunting) among children aged 6-59 months has declined but remains near the WHO critical threshold (40%) in the Makeshift Settlements and reduced significantly to 26.9% in Nayapara RC but this should be interpreted with caution since there were more than expected 6-29months children in the Nayapara sample compared to 30-59 months children.. Although the mortality rates observed are below the WHO emergency threshold of 1 death/10,000 persons/day in both sites,
children remain at risk to anemia, overall prevalence of anaemia among children 6-59 months has increased significantly in both sites and is approaching the WHO High Category of Public Health Significance (≥ 40%). Anaemia for non-pregnant and non-lactating women, 15-49 years, in the Makeshift Settlements and Nayapara RC were 22.6% and 22.8%, respectively a moderate public health problem

With regard to the disease burden among children 1 in every 4 children had an episode of diarrhea two-weeks prior to the assessment an indication that inadequate sanitary conditions remain a serous underlying risk to children health and nutrition status in the crowded camps.

With regard to access to food aid assistance by ration or e-voucher findings reveal that in both the makeshift and Nayapara camps access to food aid support is universal.

Assessment Report: 
Assessment Questionnaire: 
Publicly Available
Assessment Data: 
Publicly Available
Assessment Date(s): 
20 Oct 2018 to 08 Nov 2018
Draft / Preliminary Results
Population Type(s): 
Children under 5
Lactating women
Pregnant women
Leading/Coordinating Organization(s): 
United Nations Children's Fund
United Nations High Commissioner for Refugees
World Food Programme
Action against Hunger
Swedish International Development Agency
Nutrition Sector - Cox's Bazar/Bangladesh
Government of United Kingdom - Department for International Development
Participating Organization(s): 
Terre des hommes Foundation
Community Management of Acute Malnutrition
Food/Nutrition Crisis