Nutrition and Mortality SMART survey in Paktya province (June 2015)
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
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:
19.9%.
