Food and Nutrition Sentinel Site Surveillance Report November 2004

By Fred Bailey,2014-05-20 19:21
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-There is also need for Ministry of Health to expedite adoption of the child supplementary feeding guidelines, so that District managers are guided on what

    Pilot Food and Nutrition Sentinel

    Site Surveillance Report

     March 2005

    Food and Nutrition Council in collaboration with

    Epidemiology Dept, Nutrition Unit, Ministry of Health and Child Welfare

    Main Findings st? Wasting is higher in most of the sentinel sites compared to the 1 round

    surveillance results, Mudzi being the highest 9% and Bulilimamangwe 6.4%

    ? Stunting remained highest in Kwekwe (35.5%) and Chimanimani (33.8%) sentinel


    ? Under-fives who live in households where a household member is chronically ill

    were at increased risk of malnutrition.

    ? Children on supplementary feeding programmes are better nourished than children

    who are not.

    ? Only 19.7% households are currently using cereal from their production compared

    to 36.1% in the first round.

    ? Some households are using uniodized salt. The worst districts are Centenary

    23.3%, Bulilima 15% and Kwekwe 13.6%

    ? Centenary district again reported the highest number of children who did not

    receive Vitamin A capsules within the past 6 months

Sentinel Site Districts:

    Bulawayo Urban Kariba Mashonaland West Harare Urban Gutu Masvingo

    Chimanimani Manicaland Tsholotsho Matabeleland North Centenary Mashonaland Central Bulilimamangwe Matabeleland South Mudzi Mashonaland East Kwekwe Midlands

     1. Introduction

    Food and nutrition policies form an integral part of the country’s development plans. To monitor the

    country’s millennium development goals, especially the first goal of eradicating hunger and poverty, this

    surveillance system was put in place. Pilot testing has been for the second time in the same sentinel sites

    listed above.

In this second surveillance exercise, a total of 3 740 households and 3 243 under fives from these

    households were assessed. The same areas sampled in November 2004 were sampled again in March 2005.

    Data collection took on average 4 days in all the 10 sentinel sites.

A total of 29 variables were assessed. These included demographic characteristics, weight and height

    measurements, programme indicators, food availability and access indicators, water and sanitation

    indicators and morbidity and mortality data.

     stIn this report, an attempt has been made to compare the results of the 1 surveillance exercise that was done in November 2004, with the results of the current assessment done in March 2005.



1.1 Malnutrition by area Comparison of wasting rates, Nov 2004 and Mar 2005Wasting was highest in

    Mudzi (9%). A verification

    exercise using clinic data 10

    was done for Mudzi and 9there was an indication of 8sharp increase in 7malnutrition in January

    2005. Results from the 6

    2005 vulnerability 5assessments done in May 42005 revealed that Mudzi % children3district was among the

    districts that were food 2insecure. 1Comparison with data 0collected in November

    2004 shows that wasting

    rates are higher in all the

    10 sites. This is an Bulawayoindication of worsening of

    Hararenutritional situation as it is

    expected that nutrition Chimanimanishould improve during this wasting Mar 2005wasting Nov 2004time (March) as people Centenary

    start eating food from their Mudziagricultural produce.


    Comparison of underweight rates, Nov 2004 and Mar 2005Under-weight is also higher Gutucompared to November

    assessments. Tsholotsho30Bulilimamangwe was 25Bulilimamangwe20highest at 25.5% and 1510Mudzi 21.7%. Kwekwe5Bulilimamangwe remained 0% childrenAllthe worst even in the last


    . Bulawayo


    Underweight Mar 2005Underweight Nov 2004Chimanimani










    Comparison of stunting ratesStunting measures long

    term nutrition deprivation.

    Nationally stunting levels

    are in the range 20?5%. 40In all the two assessments, 35most sites were within this

    30range except Kwekwe

    (35.5%) Chimanimani 25(33.8%) and Mudzi 20(28.6%). % children15This is an indication that

    these areas have chronic 10