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Report of Small Scale SMART Survey in MMC, Jere LGAs, Borno State Nigeria

Subject/Objective: 

Rationale of the Survey
a) The main purpose of the small-scale nutrition survey was to determine the nutrition situation among the host communities in MMC and Jere LGAs.
b) Secondly, due to the lack of representative nutrition data at the Local Government Area (LGA) for both MMC and Jere LGAs the assessment was planned address the gaps for nutrition and mortality data and surveillance of the host communities.

Goals and Objectives
The overall goal of the proposed small-scale SMART nutrition survey was to assess the nutritional status of children less than 5 years of age. This involved providing anthropometric data along with mortality rates of the survey population using the SMART methodology.

Methodology: 

Methodology
The Small Scale Survey (SSS) adopted a cross-sectional design with two-stage cluster sampling based on the SMART methodology with the clusters being selected using the probability proportional to population size (PPS). The typical sample size of a Small Scale SMART survey is 25 clusters by 10 households, but when retrospective mortality is added to the survey, the sample size must be increased, and a 30 clusters by 14 households is advised by CDC and the Global SMART guidelines.
Anthropometric data, two-week retrospective morbidity and retrospective mortality data was collected. 30 clusters based on probability to proportional to size were selected using the ENA for SMART software Nov, 2013 version (9th July 2015 update).

Key findings: 

Results
Findings of the nutrition survey indicate an emergency nutrition situation among the surveyed population as per WHO standards. The prevalence of Global Acute Malnutrition (GAM) in MMC and Jere LGAs based on weight for height z scores /and or oedema was 19.2% (14.7 – 24.6, 95% C.I.) and the prevalence of Severe Acute Malnutrition (SAM) was 3.1% [1.6 – 6.0, 95% C.I.]. The poor nutrition situation is attributed majorly to poor food security due to the influx of the IDPs in the host communities and the high incidence of disease among children aged 6-59 months.

Assessment Report: 
Assessment Questionnaire: 
Publicly Available
Assessment Data: 
Publicly Available
Operations(s)/Webspace(s): 
Assessment Date(s): 
19 Jul 2016
Status: 
Report completed
Population Type(s): 
Children under 5
Cluster(s)/Sector(s): 
Leading/Coordinating Organization(s): 
Action against Hunger
Location(s): 
Maiduguri
Jere