Pilot Food and Nutrition Sentinel
Site Surveillance Report
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
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
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.
PLEASE REFER TO THE BACK OF THE REPORT FOR DEFINITION OF NUTRITION TERMS AND ALSO THE
IMPLICATIONS OF THESE NUTRITIONAL CONDITIONS.
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
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