Christian Mission Aid CMA - Action Against Hunger

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8high incidences of malaria and diarrhoeal diseases. The combined effect of disease and low food intake rapidlydeteriorated the nutritional status especially among the under 5 year olds.A retrospective mortality survey has been implemented alongside the nutritional survey. Unfortunately, the datacollected was not satisfying, and can be attributed to the methodology that was used. As a result, this indicatoris reported in this the present survey..I.6. Recommendations.I.6.1. Programmatic• A therapeutic feeding program should be immediately implemented to cover the South Bor County, to treatand reduce the risk of mortality among the severely malnourished children. Co-ordination with and amonghumanitarian agencies on ground should be initiated; technical support should be offered by ACF-USA.• Deeper analysis of the health situation should be undertaken by <strong>CMA</strong>, while enhancing the coverage of itsprimary health care services in the area, ensuring increased access and utilization by the population. ThePHCU’s in Kuei, Yolmuchel and Jalle II should be re-established.• Further assessment and monitoring of the food security situation should be carried out; meanwhile, generalfood aid must be promptly delivered by WFP. Existing food security programs and initiatives should becontinued while further developing its impact potentials.• Capable agencies should support South Bor with projects to increase safe water sources (such as boreholeinstallation) and basic sanitary facilities..I.6.2. On Methodology• To implement in the future surveys the SMART methodology for the collection of data and the analysisof the retrospective mortality rate..II. INTRODUCTIONBaidit and Jalle II Payams are located in South Bor County in the Jonglei Upper Nile Region. The Countycomprises of six payams namely: Jalle, Baidit, Makuach, Anyidi, Kolnyang and Bor town. The river Mabor Golcuts across the county and provides grazing areas, water and fishing points. The Nile River in the eastern sideof the County offers good fishing opportunities and grazing areas for cattle. The area is generally flat and madeof black cotton and sandy soils. The inhabitants belong to Dinka Bor clan.The County faced the last insecurity incident in 2000 when the militia group made aerial bombardments inAnyidi, Makuach and Jalle payams; unspecified number of people was injured and properties were destroyedduring the incident. During the recent years, apart from sporadic cattle raids in the location, security has beenrelatively stable.Several NGO’s are operating in South Bor, covering programs such as primary health care, food security, waterand sanitation, fisheries, livestock health, and road rehabilitation/construction, among others
9In May 2002, ACF-USA conducted a nutritional survey in Padak, which revealed GAM and SAM rates of 37.7%and 6.6%, respectively. Again in March 2003, the nutritional survey by TEARFUND showed persistently highmalnutrition rates of 20.8% GAM and 2.4% SAM. By the end of the 2004, assessment reports (ANA andSTARBASE), indicated that food security in Bor will be relatively stable due to market access, fishingopportunities and enhanced income. However, poor households are likely to experience food deficits due todeclined household production and low purchasing power. A 15- 20% food deficit was projected in 2005, andthe most affected would be the small-scale crop farming households.In the month of May alone, <strong>CMA</strong> reported 17 cases of severe malnutrition in its PHCC and raised this concernwith ACF-USA. Consequently, a nutritional survey was carried out to determine the current nutritional situationin the area..III. OBJECTIVES• To evaluate the nutritional status of children aged 6 to 59 months.• To estimate the measles immunisation coverage of children aged 9 to 59 months.• To identify groups at higher risk to malnutrition: age group and sex..IV. METHODOLOGYThe survey was conducted in Athoc: Baidit and Jalle II Payams of South Bor County in the Jonglei Upper Nileregion, from 14 th - 30 th June 2005..IV.1. Type of Survey and Sample SizeThe target population of the survey was children 6-59 months of age.The total population of the 30 accessible villages in Baidit/Jalle II payams was estimated at 41,728, giving atarget population of 8,345 children (calculated as 20% of the total population). A two-stage cluster samplingmethodology was used, composed of 30 clusters of at least 30 children in each cluster.Qualitative information to capture food security, childcare practices, nutrition, and health and sanitation situationwas collected through focus group discussion, individual interview and observation methods..IV.2. Sampling MethodologyA two-stage cluster sampling was used:• At the first stage, 30 clusters were randomly selected. Using a random draw, villages were chosen froma list of accessible villages and the clusters assigned accordingly. (See appendix 1 for village list andestimated population). The probability of selection was proportional to the village population size. Eachcluster included a minimum of 30 children.
Page 5 and 6: 5.I. EXECUTIVE SUMMARY.I.1. Context
Page 10 and 11: 10• At the second stage, i.e. the
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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