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Medium term• As part of the effort to tackle the staggering level of acute and chronic malnutrition,there is a need for an integrated strategy to short term, medium term and longer termprogrammes addressing both the acute and chronic malnutrition. Therefore, anintegrated health and nutrition package (Immunization, Micronutrient supplementation,IYCF, CMAM) complimented with programmes aimed at improving household foodsecurity, water and sanitation need to be implemented in Lahj governorate in acoordinated way to bring down malnutrition, particularly in the remote villages withlittle access to facilities and high levels of malnutrition,• Closely monitor the food security situation and develop a contingency plan to provideprompt emergency relief as appropriate.• Establish a nutrition surveillance system to monitor the situation to act as an earlywarning system and as a referral mechanism for malnourished children.• Promote salt iodization programmes.• Improve vaccination coverage by enhancing the governorate’s mobile health serviceinitiative and implement SPHERE standards with special focus to vitamin Asupplementation as well.• Improve management of ARI and Diarrhea in the communities with focus on preventivemeasures and possible curative responses.• WASH campaign to promote safe hygiene and caring practices• Improve already ‘satisfactory’ sanitation facilities and practices through healtheducation and disciplined camp management.• Implement programmes that will promote self-sufficiency and household food security.Food-for-training activities, food-for-work programmes, and agricultural rehabilitationare recommended as means of increasing employment opportunities and providing amechanism by which households can increase their immediate access to food.• A follow-up survey should be done after 6 months to assess the change in status of thepopulations and effect of health and nutrition interventions on malnutrition prevalence,morbidity and mortality• Develop the capacity of a multi disciplinary team in Lahj governorate to execute futuresurveys, analyse and interpret nutrition, food security and health information and toplan appropriate timely emergency response for the districts in the governorate.Longer term• Scale up WASH projects to improve access to safe water and sanitary latrines• Develop strategies and test innovative initiatives to diversify income generation55
opportunities• Support infrastructure development (roads, communication systems), especially inMountainous zone• Develop an integrated (Nutrition, Health, Food security) early warning system for eachecological zone in the governorate• Health indicators - define thresholds for normal, alert, high risk, emergency• Defined key FS indicators for each ecological zone and set thresholds biannually• Further research is needed to understand why the level of acute malnutrition amongboys is significantly higher than girls56
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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 and 46: ut it is noticeable that there is a
Page 47 and 48: (training, awareness creation) thro
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: current list of areas where mobile
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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