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Table 20: Percent distribution of children by vaccination and supplementation, Lahjgovernorate, July 2012Lowland MountainousEcological ZoneN % N %ImmunizationChildren (9-59 months) immunised against measles 1 661 89 612 86.3Children who have ever received polio vaccine 686 86.1 637 83.5SupplementationChildren who received vitamin A supplementation in last 6 582 73.1 526 69.1months1 Based on health cards and mothers' reports4.9.2. Nutrition Programme coverage informationThe number of children enrolled in the nearby therapeutic feeding program was only 3.78% and1.83% in Lowland and Mountainous zones, respectively. All the children suffering severe acutemalnutrition were subsequently referred to the nearby health centre with OTP. Currently, thereare no supplementary feeding programmes in Lahj governorate. The estimated coverage wasestimated as 0 % of children currently enrolled in SFP observed malnourished in need of SFP.This is seen as a gap in response needs.UNICEF has been supporting the MOPH to deliver static and mobile OTP programmes in Lahjgovernorate since December 2008. So far there is one TFC in Alhouta general hospital and 24OTP centres throughout the 15 districts. The therapeutic feeding programme in Lahjgovernorate was established at the end of 2008 with 16 OTP centres in 15 districts and scaledupto 23 OTP and 1 TFC in October 2011. Two UNICEF mobile nutrition teams (each consistingof Doctor and Nurse) were deployed in Lahj governorate in September 2010 and February 2011.They have the responsibility to treat and manage SAM cases through mobile OTP services aswell as delivering PHC. The third mobile team is expected to be deployed at the end of July2012. The UNICEF mobile teams mainly targeting the IDP located within the local communitiesof Althouta, Tuban, Almilah, Almiseymer and Tourulbaha districts.Save the Children provides PHC and Nutrition services to support outreach activities, using twoMobile Health Teams in Alhouta, Tuban, Almakatra, Kembeta. WHO provides PHC services inAlhouta and Tuban districts using two mobile teams. Lahj Health office, under CLP(Comprehensive Livelihood Programme), covers a wide range of interventions in parts of thegovernorate, from Reproductive Health and PHC services, to training of CHWs and TBAs usingtwo mobile teams. EU, under Reproductive Health Population Programme, delivers RH services45
(training, awareness creation) through outreach programme covering the whole 15 districts ofLahj governorate.However, it is suggested that coverage and linkage between these interventions is weak. Effortsneed to be made to link the nutrition intervention by sharing information. There is still a needto ensure that Mobile Health Teams providing PHC services are supported to identify, treat andmanage severe acute malnutrition. In addition, community mobilization efforts need to bestrengthened to improve early case finding and referral for OTP in the months ahead. Currently,no additional health or nutrition program is being implemented to support the health officestatic services in the governorate.ICRC provided full assistance to the IDP (shelter, water, sanitation, health, nutrition services)since the beginning of the displacement until March 2012. Since the phase out of the ICRCprogramme, no new programmes have been started in Lahj to support IDPs.Relief International, under Food For Peace programme, is supporting 8,000 vulnerablehouseholds in 4 districts (Alhota, Tuban, Tourulbaha and Almoqatra districts of Lahigovernorate) providing direct support (Food basket per family per month is consist of 50kgwheat flour, 10kg rice and 5 litre cooking oil) to improve access to staple food commodities andawareness creation on Nutrition, Food Pyramid, Hand Washing, Breast Feeding/ MotherFeeding/ Child Feeding/ Teenager Feeding and Healthy Cooking Habits and so far 4000 familiesattended educational sessions by trained Community Mobilizer.In July 2012 the first round of relief food distribution was took place in four districts reaching8000 households. It will be interesting to monitor the impact of these interventions in thetargeted districts and potentially scale up throughout the governorate as required.4.9.3. Presence of iodized salt in householdHousehold salt iodization is low (Table 21). Among all households, less than a quarter (24.5%)had salt with the recommended level of iodization.46
Page 1 and 2: Nutrition and Mortality Survey inLo
Page 3 and 4: 4.7. Food security ................
Page 5 and 6: LIST OF FIGURESFigure 1:Figure 2:Fi
Page 7 and 8: ACKNOWLEDGEMENTThis standard nutrit
Page 9 and 10: EXECUTIVE SUMMARYIn July 2012, UNIC
Page 11 and 12: toilet use. Among the Mountainous a
Page 13 and 14: 1. BACKGROUNDLocationLahj governora
Page 15 and 16: 2. OBJECTIVES OF THE SURVEYThe main
Page 17 and 18: Under 5 Non SampleTable 1a: Assumpt
Page 19 and 20: 3.4. Sampling methodologya) Samplin
Page 21 and 22: As a means to verify anthropometric
Page 23 and 24: Weight was measured by using UNISCA
Page 25 and 26: vaccination coverage, morbidity and
Page 27 and 28: Table 4: Percent distribution of ho
Page 29 and 30: Tertiary education (university,coll
Page 31 and 32: children with oedema in both in the
Page 33 and 34: Figure 4 Chronic Malnutrition of Lo
Page 35 and 36: With reference chronic malnutrition
Page 37 and 38: 4.4. Population PyramidMortality da
Page 39 and 40: Table 14b: Percentage of non breast
Page 41 and 42: Table 16: Health seeking behavior,
Page 43 and 44: Table 18: Percent distribution of h
Page 45: ut it is noticeable that there is a
Page 49 and 50: The prevalence of acute malnutritio
Page 51 and 52: Analysis was made to test whether m
Page 53 and 54: In the mountain, significantly low
Page 55 and 56: current list of areas where mobile
Page 57 and 58: opportunities• Support infrastruc
Page 59 and 60: Annex II: Clusters Selected for Lah
Page 61 and 62: Annex IV: Local calendar of events,
Page 63 and 64: Year 2010The date fromThe date toDa
Page 65 and 66: Annex VII: Household QuestionnaireR
Page 67 and 68: Q001: Household data (only those wh
Page 69 and 70: H007bWhat is themain method used to
Page 71 and 72: H012bWhy don’t you seek health se
Page 73 and 74: Q019 - Q025: Nutritional and Immuni
Page 75 and 76: Q026 - Q035: Anthropometric measure
Page 77 and 78: Annex VIII: Referral Form for the M
Page 79: Annex X: Suspected measles cases re

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