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Nutrition and Mortality SMART survey in Paktya province (June 2015)


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


SMART methodology

Principales constatations: 

Findings showed that the prevalence of Global Acute malnutrition (GAM), based on WHZ for
those 4 districts in Paktya, was 5.2 % (CI: 4.1- 6.7). GAM based on MUAC was 6.6% (CI: 4.8-
9.0). The rate of severe acute malnutrition (WHZ<-3 score and/ or oedema) was 0.6 % (CI: 0.3-
1.3). The prevalence of stunting among children 6-59 months, was 31.7 % (CI: 27.9 - 35.8), out
of which, 12.5 % (CI: 10.1 - 15.4) was severely stunted. The crude mortality rate (CMR) was
0.48 death/10,000/Day (CI: 0.21-1.09) and under 5 mortality rate was 0.30 death/10,000/Day
(CI: 0.18-0.49).
Based on the WHO thresholds, the current findings indicate that the acute malnutrition rate in
Paktya remain poor while chronic malnutrition is of serious concern. The overall IYCF
indicators were also worrying especially the two core indicators: excusive breastfeeding and
introduction of solid, semi-solid or soft foods (complementary feeding). Overall health
indicators were in the acceptables levels, except the iron/folate supplementation coverage
for pregnant women. Common 2-weeks recall illness among children under five was high:

Rapport d'évaluation: 
Questionnaire d'évaluation: 
Available on Request
Données d'évaluation: 
Available on Request
Date(s) de l'évaluation: 
01 juin 2015 - 30 juin 2015

Niveau de représentation

District / Province / Locality / County
État de l'évaluation: 
Report completed
Unité de Mesure: 
Méthode de collecte: 
Structured Interview
Key Informant Interview
Baseline data analysis
Type de population: 
Cluster / Secteurs: 
Agence(s) chef de file: 
Action contre la Faim
Organisation(s) participante(s): 
Afghanistan Center for Training and Development