Christian Mission Aid CMA - Action Against Hunger

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10• At the second stage, i.e. the selection of the households within each cluster, the standard WHOmethodology was used: a pen was spun while being at the central point of the selected cluster, defininga random direction. All the children 6-59 months of age included in the households encountered in thatdirection were measured..IV.3. Data CollectionDuring the anthropometric survey, for each selected child 6 to 59 months of age, the following information wasrecorded (See appendix 2 for anthropometric questionnaire):• Age: recorded with the help of a local calendar of events (See appendix 4 for calendar of events)• Gender: male or female• Weight: children were weighed without clothes, with a SALTER balance of 25kg (precision of 100g).• Height: children were measured on a measuring board (precision of 0.1 cm). Children less than 85cmwere measured lying down, while those greater than or equal to 85cm were measured standing up.• Mid-Upper Arm Circumference: MUAC was measured at mid-point of left upper arm for measuredchildren (precision of 0.1cm).• Bilateral oedema: assessed by the application of normal thumb pressure for at least 3 seconds to bothfeet.• Measles vaccination: assessed by checking for measles vaccination on EPI cards and askingcaretakers.• Household status: for the surveyed children, households were asked if they were permanent residents,temporarily in the area, or displaced..IV.4. Indicators, Guidelines, and Formulas Used.IV.4.1. Acute Malnutrition‣ Weight-for-Height IndexFor the children, acute malnutrition rates were estimated from the weight for height (WFH) index valuescombined with the presence of oedema. The WFH indices are compared with NCHS 3 references. WFH indiceswere expressed both in Z-score and percentage of the median. The expression in Z-score has true statisticalmeaning and allows inter-study comparison. The percentage of the median on the other hand is commonly usedto identify eligible children for feeding programs.Guidelines for the results in Z-score:• Severe malnutrition is defined by WFH < -3 SD and/or existing bilateral oedema on the lower limbs of thechild.• Moderate malnutrition is defined by WFH < -2 SD and ≥ -3 SD and no oedema.• Global acute malnutrition is defined by WFH < -2 SD and/or existing bilateral oedema.Guidelines for the results expressed in percentage according to the median of reference:• Severe malnutrition is defined by WFH < 70 % and/or existing bilateral oedema on the lower limbs.• Moderate malnutrition is defined by WFH < 80 % and ≥ 70 % and no oedema.• Global acute malnutrition is defined by WFH
11‣ Children’s Mid-Upper Arm Circumference (MUAC)The weight for height index is the most appropriate index to quantify wasting in a population in emergencysituations where acute forms of malnutrition are the predominant pattern. However the mid-upper armcircumference (MUAC) is a useful tool for rapid screening of children at a higher risk of mortality. The MUAC isonly taken for children with a height of 75 cm and more. The guidelines are as follows:MUAC < 110 mmMUAC ≥ 110 mm and
Page 5 and 6: 5.I. EXECUTIVE SUMMARY.I.1. Context
Page 8 and 9: 8high incidences of malaria and dia
Page 12 and 13: 12land cultivated depends on availa
Page 14: 14.VI. RESULTS OF THE ANTHROPOMETRI
Page 17 and 18: 17Table 7 Nutritional Status by Sex
Page 19 and 20: 19Table 13 Feeding practicesFeeding
Page 21 and 22: 21The most relevant factors seen to
Page 23 and 24: 23The sampling interval is equal to
Page 25 and 26: 25.IX.3. Retrospective Mortality Su
Page 27 and 28: 27OCTOBERPEI THEIRNOVEMBERPEITHIERU
Page 29: 29.IX.6. Padak Market Commodity Pri

Christian Mission Aid CMA - Action Against Hunger

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