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The report is presented in four parts. The first part deals with the background and description of the study site while the second part highlights the objectives and the methodology. The third part presents the major findings of the study. The fourth part of the report discusses the findings of the study in the context of the current situation in the in study area and the fifth and final part gives recommendations for further actions. Detailed accounts of the study results are presented in the appendices and annexes sections. 2. The Survey 2.1 The Purpose of the Survey The first and the most immediate purpose of the study were to assess the malnutrition level, to determine the extent of the need and generate a baseline information on food, health and water needs of the general population. The survey findings are also thought to support the suggestions to be forwarded for the immediate and future nutritional and health inputs for action and advocacy. 2.2 METH<strong>ODO</strong>LOGY • Survey Methodology and Sampling Frame The consultant, maintaining WHO’s/FAO’s standards and using DPPC guidelines set for such assessment (as fit for such population dynamics), has designed the study. A final sample size of 672 children (70-110 cm length) was determined using sample size calculation method for a 2-stage cluster sample survey (with 30%-estimated prevalence, 5% precision and 5% error risk). A total of 26 clusters were studied from 6 rural FA/PAs and all eligible children in a household were included for anthropometric measurement. 2
• Variables Measured and Recording Information Recumbent length was recorded to the nearest 0.5 cm using standard length board. Each child was weighed, using hanging spring scale graduated by 0.1 kg, with minimum clothing (estimated deductions for the minimum clothing were made) and the weight of each child was recorded to the nearest 100 gram. Wherever available, age and vaccination status have been recorded from their EPI card whilst the mothers’ responses were recorded in the absence of such a card. Mothers were interviewed about family food, health and water using structured questionnaires (Annex 2). 2.3 Organisation and Management of the Survey • Organisation The survey work was organised into 4 teams consisting of a team leader (a Nutrition Field Worker) two/three trained assistants (ERCS Youth Volunteers) and a guide/interpreter. The assistants help the team leader in measuring the children, recording and filling-in the questionnaires. The guide/interpreter would help each team in locating the selected Kebele/PA introducing the team. The consultant supervised the data collection at random to ensure consistency and that the qualities were maintained. • Training of the Data Collectors The survey team leaders and assistants were assigned by the consultant. Although the team leaders were experienced Nutrition Field Workers (NFWs) who have been conducting such surveys, a refresher orientation, in the context of the current study, was given for 2 days in Addis. A further one-day orientation on the survey and practical training was given to ten assistants selected and provided from the ERCS Youth Volunteers in Shakiso town (ERCS Sub-Branch Office). 3
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