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Greater Ikwoto county Nutrition and Mortality SMART survey - 2019


The main objective of the survey was to assess: current prevalence of acute malnutrition, crude and under-five retrospective death rates, and food security conditions.


The Standardized Monitoring and Assessment for Relief and Transitions (SMART) which applies a two-stage cluster sampling was used. A total of 613 children aged 6-59 months from 570 households in 39 clusters were sampled for anthropometric measurements. The mortality assessment was conducted concurrently in all 570 households.
Additional information on the food security and livelihoods situation of Ikwoto was collected in the 570 households visited, in order to provide more insight into possible risk factors associated with acute malnutrition.

Principales constatations: 

The prevalence of GLOBAL ACUTE MALNUTRITION (GAM) defined as Weight-for-Height <-2 Z scores and/or oedema for the County was 9.2% (6.6 - 12.8 95% C.I.) and the severe acute malnutrition (SAM) prevalence defined as Weight-for-Height <-3 Z scores and/or oedema was 2.0% (1.0 -4.0 95% C.I.). The GAM rate indicated a poor nutrition situation while SAM prevalence was classified as critical according to the WHO classification. There were no oedema cases identified during the assessment.
The CRUDE MORTALITY RATE (CMR) and the under-five mortality rate (U5MR) were 0.42 (0.22-0.79) and 0.46 (0.15-1.44) respectively. Both the CMR and the U5MR were classified as normal as per the WHO emergency thresholds of 1/10,000/day and 2/10,000/day respectively. Most deaths were due to illness (81.8%).
FOOD SECURITY INDICATORS show that half of the population experience one or more constraints. Only 38.6% of the surveyed households had acceptable food consumption. Most of the households (66.3%) said they were experiencing little to no hunger. Additionally, 61.1% of sampled households had low diet diversity. The mean HDD score for all households in the survey was 4.1 food groups which show that on average, households consumed 4 or fewer food groups the previous day of the interview. The vast majority of households (95.8%) had a low reduced coping strategy index. However, a substantial number of households (47.7%) reported using one or more livelihood based coping strategies in the month prior to the survey.

Taille de l’échantillon : 
613 children aged 6-59 months from 570 households in 39 clusters
Rapport d'évaluation: 
Questionnaire d'évaluation: 
Publicly Available
Données d'évaluation: 
Publicly Available
Date(s) de l'évaluation: 
21 juin 2019 - 01 juil 2019

Niveau de représentation

District / Province / Locality / County
État de l'évaluation: 
Report completed
Unité de Mesure: 
Méthode de collecte: 
Structured Interview
Type de population: 
Enfants de moins de 5 ans
Cluster / Secteurs: 
Agence(s) chef de file: 
AVSI Foundation
Classification de la Phase de Sécurité Alimentaire Intégrée (IPC)