UNICEF KENYA COUNTRY OFFICE SUMMARY TABLE ON ...
UNICEF KENYA COUNTRY OFFICE SUMMARY TABLE ON ...
UNICEF KENYA COUNTRY OFFICE SUMMARY TABLE ON ...
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<strong>UNICEF</strong> <strong>KENYA</strong> <strong>COUNTRY</strong> <strong>OFFICE</strong><br />
<strong>SUMMARY</strong> <strong>TABLE</strong> <strong>ON</strong> NUTRITI<strong>ON</strong> SURVEYS<br />
13 December, 2000<br />
Please find below a table summarizing information on nutrition surveys that has been made available to <strong>UNICEF</strong> Health and<br />
Nutrition – Emergency Unit. The table indicates the methodology for survey sampling. The Health and Nutrition sub-unit is striving<br />
towards standardization of methodology within and across districts. To this end there is a guide for training on nutrition surveys<br />
available at <strong>UNICEF</strong> as well as a health and nutrition questionnaire which can be used by any interested agency.<br />
Please note that this table is complied from data available currently to <strong>UNICEF</strong> - we would welcome comments and inputs from<br />
partners in updating the information herein.<br />
DISTRICT DATE ORGANI<br />
ZA-<br />
TI<strong>ON</strong><br />
Turkana March<br />
2000<br />
June<br />
2000<br />
August<br />
2000<br />
LOCATI<strong>ON</strong>S METHOD NO.<br />
SURVEY<br />
-ED<br />
Oxfam Lokituang subdistrict<br />
ANP/UNI<br />
CEF<br />
<strong>UNICEF</strong><br />
and 6<br />
NGOs<br />
2 stage 30x30<br />
cluster sampling<br />
Kerio 1 10 clusters of 30<br />
households to yield<br />
300 households per<br />
division; criteria for<br />
inclusion of a<br />
household – at least<br />
1 child 6-59 months<br />
in the household<br />
Lokichokio<br />
Kakuma &<br />
Oropoi<br />
Two-stage cluster<br />
sampling; 25%<br />
prevalence of<br />
INDICATOR<br />
GLOBAL<br />
MALNUTRITI<br />
<strong>ON</strong> RATE<br />
900 wt/ht 21.3 (z- score) 4.6<br />
422 wt/ht<br />
MUAC<br />
37.2 (z-score)<br />
27.9<br />
599 wt/ht 27.13 (Z-score)<br />
1 This division was chosen for the survey as it was considered, by the District Steering Group, to be the worst-affected.<br />
SEVERE<br />
MALN. RATE<br />
8.5<br />
8.32<br />
1
Marsabit June<br />
2000<br />
June<br />
2000<br />
July<br />
2000<br />
<strong>UNICEF</strong>/<br />
ANP<br />
Lokituang subdistrict<br />
malnutrition<br />
assumed; eroor risk<br />
5%, precision 5%<br />
sample size required<br />
576; 30 clusters<br />
with 20 children in<br />
each<br />
As above 597 Wt/ht 31.37 6.06<br />
Katilu, Kainuk As above 593 Wt/ht 30.50 9.26<br />
Central, Kalokol As above 596 Wt/ht 24.88 4.37<br />
Lokichar, Lokori<br />
& Lomello<br />
Loima,<br />
Turkwell 2<br />
As above 598 Wt/ht 34.46 8.36<br />
As above 498 Wt/ht 46.80 19.47<br />
Loyengalani 3 10 clusters of 30<br />
households to yield<br />
300 households per<br />
division; criteria for<br />
inclusion of a<br />
household – at least<br />
1 child 6-59 months<br />
in the household<br />
Medair North Horr 2 stage 30x30<br />
cluster sampling<br />
Tearfund Maikona central<br />
and Kalacha<br />
Central division<br />
divided into 6 zones<br />
358 Wt/ht<br />
Muac<br />
35.2 (z-score)<br />
35.8<br />
6.7<br />
924 wt/ht 43.5 (z-score) 6.2<br />
836 wt/ht 28.2 (z-score) 3.4<br />
2<br />
The malnutrition levels are extremely high. It is to be noted that the survey was carried out soon after a measles outbreak and there were an unusual number of<br />
sick and malnourished children there at that point.<br />
3<br />
This division was chosen as it was considered, by the District Steering Group, to be the worst affected<br />
2
July/A<br />
ug<br />
Oct.<br />
2000<br />
Oct.<br />
2000<br />
Nov.<br />
2000<br />
Nov.<br />
2000<br />
Moyale June<br />
2000<br />
July<br />
2000<br />
Nov.<br />
2000<br />
+ Kalacha children<br />
assembled in central<br />
place and assessed;<br />
1-day assessment<br />
MoH Laisamis 310 wt/ht 40.0 ?<br />
Medair North Horr 2 stage 30x30<br />
cluster sampling<br />
Medair Loyengalani 2 stage 30x30<br />
cluster sampling<br />
Maikona Tearfund 2 stage 30x30<br />
cluster sampling<br />
924 Wt/ht 30.7 (z-score)<br />
4.9<br />
905 Wt/ht 29.0 3.8<br />
900 Wt/ht (zscores)<br />
FHI/MoH Laisamis Planned survey<br />
<strong>UNICEF</strong>/<br />
ANP<br />
Obbu 4 10 clusters of 30<br />
households to yield<br />
300 households per<br />
division; criteria for<br />
inclusion of a<br />
household – at least<br />
1 child 6-59 months<br />
in the household<br />
374 wt/ht<br />
muac<br />
25.1 3.9<br />
18.7 (z-score)<br />
14.2<br />
Tearfund Sololo 350 wt/ht 17.1 2.3<br />
<strong>UNICEF</strong>/<br />
MoH/<br />
Worl d<br />
Vision<br />
Moyale Two-stage cluster<br />
sampling; 20%<br />
prevalence of<br />
malnutrition<br />
4 This division was chosen as it was considered, by the district steering group, to be the worst affected.<br />
958 Wt/ht (zscores)<br />
5.8<br />
8.1 1.5<br />
3
Mandera Dec<br />
1999<br />
June<br />
2000<br />
June<br />
2000<br />
August<br />
2000<br />
MSF/S Mandera town<br />
and outskirts<br />
MSF/S Mandera town<br />
and outskirts<br />
<strong>UNICEF</strong>/<br />
ANP<br />
Shimbre<br />
Fatuma 5<br />
MDM/F All divisions<br />
listed below –<br />
overall results<br />
assumed; precision<br />
5%, error risk 5%;<br />
sample size required<br />
768; 30 clusters<br />
with 32 sampled to<br />
account for data<br />
rejection during<br />
analysis<br />
10 clusters of 30<br />
households to yield<br />
300 households per<br />
division; criteria for<br />
inclusion of a<br />
household – at least<br />
1 child 6-59 months<br />
in the household<br />
2 stage cluster<br />
sampling for the<br />
five divisions<br />
combined;<br />
prevalence of<br />
malnutriton assumed<br />
21.7%; precision 4%;<br />
however data also<br />
912 Wt/ht 27.0 (z-score) 2.1<br />
918 Wt/ht 20.3 (z-score) 2.2<br />
539 Wt/ht<br />
Muac<br />
5 This division was chosen as it was considered, by the District Steering Group, to be the worst affected.<br />
29.3 (z-score)<br />
23.7<br />
8.6<br />
777 Wt/ht 26.1 (Z-score) 7.1<br />
4
Sept.<br />
2000<br />
Wajir Dec.<br />
1999<br />
<strong>UNICEF</strong>,<br />
MoH and<br />
partners<br />
analyzed per division<br />
Rhamu See above 251 29.1 8.8<br />
Rhamu-Dimtu See above 49 38.8 8.2<br />
El Wak See above 268 22.3 5.6<br />
Ashabito See above 110 23.6 7.3<br />
Lafey See above 98 25.5 6.1<br />
Banisa Two-stage cluster<br />
sampling; 25%<br />
prevalence of<br />
malnutrition<br />
assumed; precision<br />
4%, error risk 5% ;<br />
sample size required<br />
576; 30 clusters<br />
with 20 children in<br />
each<br />
606 Wt/ht 6<br />
26.8 (z-score) 4.6 7<br />
Takaba As above 613 28.3 (z-score) 4.7<br />
Malkamari As above 597 19.93 (z-score) 10.39<br />
Fino As above 557 17.2 (z-score) 3.5<br />
Warankara As above 627 39.6 (z-score) 12.1<br />
Oxfam Wajir town Two stage 30x30<br />
cluster sampling<br />
917 wt/ht 20.0 (z-score) 3.5<br />
July <strong>UNICEF</strong>/ Griftu 8 10 clusters of 30 459 Wt/ht 32.6 (z-score) 7.6<br />
6 In general the malnutrition rates data from Mandera are very high. It is possible that genetically the Somali populations are leaner and thus comparing them to<br />
the NCHS reference standards may not give the ‘true’ picture of malnutrition in these areas. There may an over-estimation of malnutrition. However, the data<br />
from the CBS/<strong>UNICEF</strong> 5 th nutrition survey in 1994 found the GAM (
1999 ANP households to yield<br />
300 households per<br />
division; criteria for<br />
inclusion of a<br />
household – at least<br />
1 child 6-59 months<br />
in the household<br />
Sept.<br />
2000<br />
Oct.<br />
2000<br />
Garissa July<br />
2000<br />
SCF (UK) Wajir central Two stage cluster<br />
sampling;<br />
malnutrition<br />
prevalence assumed<br />
at 24%; 3%<br />
precision; 5% error<br />
risk; required<br />
sample 1560 9<br />
<strong>UNICEF</strong>/<br />
ANP<br />
North/West Two-stage 30X30<br />
cluster sampling<br />
Mogadashe 11 10 clusters of 30<br />
households to yield<br />
300 households per<br />
division; criteria for<br />
inclusion of a<br />
household – at least<br />
1 child 6-59 months<br />
in the household<br />
Muac 19.7<br />
1,553 Wt/ht 22.5 (z-score) 5.0<br />
746 10 Wt/ht<br />
8 This division was chosen as it was considered, by the District Steering Group, to be the worst affected.<br />
9 A total of 25 clusters were completed. Due to insecurity the team could not collect additional data.<br />
10 The survey could not be completed due to insecurity. Data from 25 clusters were collected.<br />
11 This division was chosen as it was considered, by the District Steering Group, to be the worst affected.<br />
21.2 (z-score) 5.8<br />
410 Wt/ht 27.2 (z-score) 6.6<br />
6
Sept.<br />
2000<br />
Baringo July<br />
2000<br />
Sept.<br />
2000<br />
Oct.<br />
2000<br />
Samburu August<br />
2000<br />
CARE/<br />
MoH and<br />
partners<br />
World<br />
Vision<br />
All Garissa –<br />
combined<br />
results<br />
2 stage cluster<br />
sampling;expected<br />
prevalence 27%;<br />
precision 5%; 602<br />
children required<br />
from each zone<br />
1675 12 Wt/ht (zscores)<br />
21.1 8.4<br />
Northern As above 465 Wt/ht 22.7 (z-score) 9.3<br />
Central As above 427 20.7 (z-score) 10.0<br />
Southern<br />
(Ijara)<br />
As above 420 20.8 (z-score) 7.5<br />
6 divisions<br />
chosen to<br />
represent all<br />
agro-ecological<br />
zones<br />
WV Lowland dry<br />
areas<br />
WV Highland areas Two stage cluster<br />
sampling; expected<br />
prevalence 20%,<br />
error risk 5%,<br />
precision 4%;<br />
30clusters with 26<br />
children – sample<br />
size 768 - needed<br />
MSF/F Baragoi Rapid MUAC<br />
assessment<br />
240 wt/ht<br />
33.3 8.0<br />
1011 wt/ht 23.4 (z-score) 5.4<br />
755 Wt/ht (zscore)<br />
8.1 3.1<br />
4,097 MUAC 21.2 1.7<br />
12 Data collection in some parts of Dadaab, Hulugho and Jarajilla was not possible due to inaccessibility, insecurity and movement of nomads. As a result data for<br />
104 children could not be collected. Data was collected on 1702 as opposed to be required 1806 children; analysis included 1675 children.<br />
7
Oct/N<br />
ov<br />
2000<br />
Laikipia Nov.<br />
2000<br />
Makueni July<br />
2000<br />
Kajiado Octob<br />
er<br />
2000<br />
IMC /<br />
MoH and<br />
partners<br />
World<br />
Vision<br />
El Nyiro As above 1,768 MUAC 9.8 0.7<br />
Baragoi and El<br />
Nyiro<br />
Lokorri and<br />
Kirissia<br />
Wamba and<br />
Waso<br />
Mukodogo and<br />
Central<br />
divisions 13<br />
AMREF Greater<br />
Kibwezi area<br />
OCI and<br />
partners,<br />
AMREF<br />
(<strong>UNICEF</strong>)<br />
Msz – kenyasurveys 12/13/00 6:08 PM<br />
Two stage 30x30<br />
cluster sampling<br />
909 Wt/ht (zscores)<br />
As above 909 Wt/ht (zscores)<br />
As above 913 Wt/ht (zscores)<br />
Cluster sampling<br />
method; expected<br />
prevalence 25%,<br />
error risk 5%,<br />
precision 4%; 900<br />
children required;<br />
27 clusters with 24<br />
children in each<br />
surveyed<br />
District-wide Two stage 30x30<br />
cluster sampling<br />
method<br />
903 Wt/ht (zscores)<br />
? ? wt/age 21.1<br />
911 Wt/ht (zscores)<br />
18.3 1.9<br />
27.6 3.7<br />
24.2 3<br />
20.3 6.8<br />
19.6 7.9<br />
13 These divisions were chosen as they are the areas where World Vision has developmental programmes and are distributing general food ration (EMOP).<br />
8