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Model nutrition assessment report

(based on the Save the Children Fund emergency nutrition assessment handbook)
Report of Nutrition and Mortality in (region, camp etc) of
(country) during (date to date)

(!ate of report)
(Name of responsible authors)
Executive summary (one to two pages only)
geographic area surveyed and population type
dates of survey
methodology used (sampling, sample size, main indicators)
main anthropometric results (prevalence of global and severe acute
malnutrition in terms of z-scores and/or oedema and 95% confidence
intervals)
!"# $$,% % (%&,5 - '(,) 95% *+,+)
-!" # .5,) % (.(,/ - %%,' 95% *+,+)
mortality rates (*"0 and 15"0 and 95% confidence intervals)
*"0# %,($ (.,$(-$,.5) (95% *,)
15"0# .,(' ((,%5-',%() (95% *,)
other important results (vaccination rates etc)
brief interpretation of the results
recommendations+
" #ntroduction
eographic description of survey area
name of country, province, district, sub-district, etc
if applicable, name of camp(s) or settlement(s)
type of setting (e+g+, rural, urban, camp, etc)
if available/applicable, the surface area
if applicable, brief description of terrain (e+g+, mountains, desert, etc+)
if applicable, brief description of the climate and the season 2hen the survey 2as
conducted
3escription of the population
total number of people living in survey area
if applicable, type of population (resident, ,34s, refugees, mi5ed, etc)
if applicable, ethnic and/or religious groups
ma6or livelihoods in the area (e+g+, agriculture, pastoralist, traders, etc)
-ervices and humanitarian assistance
relief programmes in area
number of people on food aid, etc
availability of health services,
7uality of roads, access to mar8ets, etc
"" Survey $b%ectives
9or e5ample,
estimate the prevalence of acute malnutrition
estimate retrospective mortality rates
understand the causes of malnutrition
(estimate the coverage of a feeding programme)
ma8e recommendations for a programme+
& Methodology
&" Sample si'e
:hat sampling methodology (e+g+, systematic random sampling, cluster sampling,
etc+) did you chose; :hy;
<o2 did you calculate the sample size for anthropometry; (sho2 the sample size
calculation, including assumptions for e5pected prevalence, e5pected 3=99 >if
cluster sampling?, re7uired precision)@ if number of children 2as converted into the
number of households, describe ho2 this 2as done
<o2 did you calculate the sample size for mortality; (sho2 the sample size
calculation, including assumptions for e5pected *"0, e5pected 3=99 >if cluster
sampling?, re7uired precision)
3escribe 2hether sample sizes 2ere ad6usted for non-response, and if yes, 6ustify
the predicted non-response rate
,f both mortality and anthropometry 2as measured, ho2 did you reconcile sample
sizes;
,f cluster sampling, ho2 did you decide ho2 many clusters and ho2 many
households per cluster;
&& Sampling procedure( selecting clusters
:hat population figures did you get and from 2hom (for e5ample, village level
population figures from district council); <o2 old 2as population data;
<o2 did you assign the clusters; (for e5ample, $( clusters 2ere randomly
selected by assigning probability proportional to population size)
3escribe any changes to the selection of the clusters during the survey+ <o2
many clusters 2ere not visited and 2hy; :ere they replaced, and if yes ho2
replacement clusters 2ere identified;
&) Sampling procedure( selecting households and children
<o2 did you choose the households and children 2ithin a cluster;
,f random selection through enumeration or through segmentation 2ith
subse7uent enumeration 2as used, describe briefly ho2 this 2as carried out
,f systematic random sampling 2as used, describe ho2 the total number of
houses in the cluster, the sampling interval and the random start 2ere determined
,f modified =4, method 2as used, describe 8ey procedures (ho2 initial direction
2as determined, ho2 the .st household 2as selected, ho2 subse7uent
households 2ere selected, etc)
,f other method 2as used, e5plain 2hy and briefly describe the method
,f several different selection methods 2ere used depending on the cluster, e5plain
2hich methods 2ere used, and ho2 many clusters used each method;
:ere empty households or households 2ith absent children re-visited; ,f yes,
ho2;
:ere empty or non-responding households replaced; ,f yes, ho2;
:ere all eligible children in selected households 2eighted and measured;
:ho 2ere survey respondents, and ho2 2ere they selected 2ithin the household;
&* Case definitions and inclusion criteria
:hat 2as your definition of the household;
:hat 2as the age range of the children included in anthropometry survey;
,f age 2as un8no2n, ho2 did you decide 2hether or not to include children;
:hat 2as your cut-off for deciding 2hether the height of the child should be
measured standing up or laying do2n;
:hat 2as your case definition for !" and -!"; 3id you ascertain bilateral
oedema; ,f yes, ho2;
:hat gro2th standard (A*<- or :<B) did you use to report you principal
anthropometry results;
:hat 2as the length or recall period in mortality survey;
:hat 2ell-8no2n event did you use to e5plain to survey responders the date of
the start of recall period;
,f other indicators (e+g+, anaemia, retrospective morbidity, immunization coverage)
2ere measured, provide case definitions, the 2ay they 2ere measured (e+g+,
using <emo*ue, or using childCs immunization card), and state 2ho the
respondents for these 7uestions 2ere
,f mortality survey 2as conducted, 2ere households 2ith no eligible children for
anthropometry included in mortality survey;
&+ ,uestionnaire, training and supervision
Duestionnaire
in 2hat language 2as 7uestionnaire used in the field;
in 2hat language(s) intervie2s in the field 2ere conducted;
if applicable, 2as the 7uestionnaire translated and bac8-translated by a different
translator before the survey;
2as the 7uestionnaire pre-tested (piloted) before the survey;
are the copies of the 7uestionnaire in =nglish and in local language included in the
!ppendices;
-urvey teams and supervision
:hat 2as the composition of the survey team;
<o2 many teams 2ere trained, and ho2 many participated in the survey;
:hat 2ere the 7ualifications (education, e5perience ) of the survey 2or8ers;
<o2 many team supervisors participated in the survey;
:hat 2ere the 7ualifications (education, e5perience ) of the team supervisors;
:ere survey teams supervised at all times, or 2ere supervisors shared by several
teams;
Eraining
:ho conducted the training for survey teams;
:hat did the training cover (e+g+, general survey ob6ectives, overvie2 of survey
design, household selection procedures, anthropometric measurements, signs
and symptoms of malnutrition, data collection and intervie2 s8ills, mortality
intervie2, );
:as the anthropometry standardization e5ercise conducted as part of the
training; ,f yes, ho2 many children 2ere measured by the teams;
:hat 2as the duration of the training;
:as the pre-test conducted; ,f yes, ho2 many children/households included in the
pre-test;
,s the training schedule included as an appendi5;
&- !ata analysis
:ho and 2here entered data;
:hat 7uality control procedures (e+g+, double data entry, random chec8s on a
certain percentage of entered records, etc+) 2ere used;
:hat type of computer programmes did you use;
:ere outliers in anthropometry data e5cluded from the analysis; ,f yes, ho2 the
boundaries for e5clusion 2ere defined (e+g+, F/- $ -3 of :<G from the observed
:<G mean);
3. Results
)" .nthropometric results (based on /0$ standards &11-)(
3efinitions of acute malnutrition should be given (for e5ample, global acute malnutrition is
defined as H-% z scores 2eight-for-height and/or oedema, severe acute malnutrition is
defined as H-$z scores 2eight-for-height and/or oedema)
=5clusion of z-scores from # Ao e5clusion
Eable $+.# 3istribution of age and se5 of sample
2oys 3irls 4otal Ratio
.35 (mo) no 6 no 6 no 6 2oy(girl
4otal
.)' 5&,) .$$ '$,$ $() .((,( .,$
9igure $+.# 4opulation age and se5 pyramid
Eable $+%# 4revalence of acute malnutrition based on 2eight-for-height z-scores (and/or
oedema) and by se5
.ll
n I $'$
2oys
n 7 .//
3irls
n 7 .55
8revalence of global
malnutrition
(9:& ':score and;or oedema)
(..') $$,% %
(%&,5 - '(,)
95% *+,+)
(&() $.,9 %
(%',' - '(,5
95% *+,+)
(5') $',/ %
(%),( - '$,&
95% *+,+)
8revalence of severe
malnutrition
(9:) ':score and;or oedema)
(5') .5,) %
(.(,/ - %%,'
95% *+,+)
($() .&,( %
(.(,& - %$,'
95% *+,+)
(%') .5,5 %
(.(,. - %$,(
95% *+,+)
Ehe prevalence of oedema is ',' %
Eable $+$# 4revalence of acute malnutrition by age, based on 2eight-for-height z-scores
and/or oedema
Severe <asting
(9:) ':score)
Moderate
<asting
(=7 :) and 9:&
':score )
Normal
(= 7 :& ' score)
$edema
.ge
(mo)
4otal
no
No 6 No 6 No 6 No 6
-:"> // .( ..,' %% %5,( 5$ &(,% $ $,'
4otal
$(& $' ..,. 5) ./,& %($ &&,$ .% $,9
Eable $+'# 3istribution of acute malnutrition and oedema based on 2eight-for-height z-
scores
9:) ':score =7:) ':score
$edema present "arasmic 82ashior8or
Ao+ (
((,( %)
J2ashior8or
Ao+ .5
(',' %)
$edema absent "arasmic
Ao+ $9
(..,' %)
Aot severely malnourished
Ao+ %/9
(/',$ %)
Eable $+5# 4revalence of acute malnutrition based on "1!* cut offKs (and/or oedema)
and by se5
.ll
n I $''
2oys
n 7 .//
3irls
n 7 .5&
8revalence of global
malnutrition
(9 "&+ mm and;or oedema)
()&) %%,. %
(./,( - %&,/
95% *+,+)
($9) %(,) %
(.&,( - %&,'
95% *+,+)
($)) %$,) %
(./,% - $(,%
95% *+,+)
8revalence of severe
malnutrition
(9 ""+ mm and;or oedema)
($() /,) %
(5,. - .','
95% *+,+)
(.5) /,( %
($,9 - .5,)
95% *+,+)
(.5) 9,& %
(5,/ - .5,5
95% *+,+)
Eable $+&# 4revalence of acute malnutrition by age, based on "1!* cut offKs and/or
oedema
Severe <asting
(9 ""+ mm)
Moderate
<asting
(=7 ""+ mm
and 9 "&+ mm)
Normal
(= 7 "&+ mm )
$edema
.ge
(mo)
4otal
no
No 6 No 6 No 6 No 6
-:"> // ) /,( .' .5,9 &) )&,. $ $,'
4otal
$() ) %,$ $' ..,. %&& /&,& .% $,9
Eable $+)# 4revalence of under2eight based on 2eight-for-age z-scores by se5
.ll
n I $%9
2oys
n 7 .)9
3irls
n 7 .5(
8revalence of under<eight
(9:& ':score)
(.%() $&,5 %
($(,% - '$,%
95% *+,+)
(&%) $',& %
(%),( - '$,%
95% *+,+)
(5/) $/,) %
($(,( - '/,%
95% *+,+)
8revalence of severe
under<eight
(9:) ':score)
('() .%,% %
(/,. - .),/
95% *+,+)
(%() ..,% %
(&,/ - .),/
95% *+,+)
(%() .$,$ %
(/,. - %.,%
95% *+,+)
Eable $+/# 4revalence of under2eight by age, based on 2eight-for-age z-scores
Severe
under<eight
(9:) ':score)
Moderate
under<eight
(=7 :) and 9:&
':score )
Normal
(= 7 :& ' score)
$edema
.ge
(mo)
4otal
no
No 6 No 6 No 6 No 6
-:"> /5 .( ..,/ %( %$,5 55 &',) $ $,5
4otal
%95 $9 .$,% )' %5,. ./% &.,) .% ',.
Eable $+9# 4revalence of stunting based on height-for-age z-scores and by se5
.ll
n I $''
2oys
n 7 .//
3irls
n 7 .5&
8revalence of stunting
(9:& ':score)
(.(9) $.,) %
(%5,) - $/,$
95% *+,+)
(5/) $(,9 %
(%$,9 - $/,/
95% *+,+)
(5.) $%,) %
(%&,. - '(,.
95% *+,+)
8revalence of severe stunting
(9:) ':score)
(5.) .',/ %
(.(,5 - %(,&
95% *+,+)
(%$) .%,% %
(/,. - ./,.
95% *+,+)
(%/) .),9 %
(.%,. - %5,)
95% *+,+)
Eable $+.(# 4revalence of stunting by age based on height-for-age z-scores
Severe
stunting
(9:) ':score)
Moderate
stunting
(=7 :) and 9:&
':score )
Normal
(= 7 :& ' score)
.ge
(mo)
4otal
no
No 6 No 6 No 6
-:"> // 9 .(,% .( ..,' &9 )/,'
4otal
$() '/ .5,& 5& ./,% %($ &&,.
Eable $+..# "ean z-scores, 3esign =ffects and e5cluded sub6ects
,ndicator n "ean z-
scores L
-3
3esign
=ffect (z-
score H -%)
z-scores
not
availableM
z-scores
out of
range
:eight-for-
<eight
$%
/
-.,./L.,/5 .,'/ .& (
<eight-for-!ge
$'
'
-.,.9L%,.( .,5$ ( (
M contains for :<G and :!G the children 2ith edema+
)& Mortality results (retrospective over ? months;days prior to intervie<)
Eable $+.%# "ortality rates
*"0 (total deaths/.(,((( people / day)# %,($ (.,$(-$,.5) (95% *,)
15"0 (deaths in children under five/.(,((( children under five / day)# .,(' ((,%5-',%()
(95% *,)
0eport the main causes of death as given by the "o< and the community leaders+
Ehe mean household size is calculated as N (mode I, range )
3.3 Childrens morbidity
,f you have collected data on childrenCs morbidity using a household 7uestionnaire then
you should present in the format sho2n belo2+
Table 3.13: Prevalence of reported illness in children in the two weeks prior to interview
(n=)
-:+@ months
8revalence of reported
illness
%
Table 3.14: Sypto breakdown in the children in the two weeks prior to interview (n=)
-:+@ months
!iarrhoea %
$ther
%
3.4 accination Results
Table 3.1!: "accination covera#e: $%& for '(!) onths and easles for )(!) onths
2C3
n7
Measles
(<ith card)
n7
Measles
(<ith card or confirmation from
mother)
n7
A5S (Ao+) %
(95% *+,+)
(Ao+) %
(95% *+,+)
(Ao+) %
(95% *+,+)
3.! "rogramme coverage
8rogramme type
Supplementary feeding programme
coverage
%
(95% *+,+)
4herapeutic feeding programme
coverage
%
(95% *+,+)
*ata on the ca+ses of aln+trition (other than those above)
Oeave this for the discussion
4. #iscussion
4.$ %utritional status
discuss sample se5 ratio P any bias; ,f so, e5plain 2hy you thin8 there is bias
prevalence of acute malnutrition
if previous survey results are available, ho2 do these results compare to before,
or to other areas nearby;
ho2 does the prevalence compare to national benchmar8s of malnutrition;
,s the prevalence of malnutrition typical or not;
4.& 'ortality
3o you suspect any bias in the findings;
"ortality rates
if previous survey results are available, ho2 do these results compare to before,
or to other areas nearby;
<o2 do the rates compare to benchmar8s;
,s the mortality rate typical or not;
4.3 Causes o( malnutrition
:hat are the ma6or acute causes of malnutrition and 2here possible the causes of
mortality (ta8ing into account causes already addressed by other interventions);
*onsider immediate, underlying and basic causes+
:hat are the prospects for the coming months; :ill the situation get better or
2orse (refer to seasonal changes etc)
:ho is 2orst affected;
:hat are the chronic causes of malnutrition;
:hat does the community recommend;
3oes the story fit together; ,f not 2hat are the unans2ered 7uestions
! diagram to sho2 the causal frame2or8 of malnutrition may be useful+
4.4 8rogramme coverage
rate of coverage for any -94/E9* programmes
e5planation for rates (good/bad/2hy)
given the prevalence of malnutrition found, ho2 many children should be
enrolled;
!. Conclusions
Bverall conclusions on the severity of the situation and the urgency of the response
re7uired
). Recommendations and priorities
0emember to prioritise recommendations and try to give a time 2hen action 2ould be
appropriate (e+g, immediate, medium term or longer term)+
9uture nutrition monitoring
,s it necessary to carry out another nutrition survey in this area in the near future;
:ho should do it; -hould there be any changes to the survey methodology;
:hen should the survey ta8e place;
-hould there be food security indicator monitoring in this area; :ho should do it;
*. Re(erences
Oist all secondary sources to 2hich you have referred in the te5t+
+. ,c-nowledgements
.+ Oist all government departments, ,nternational agencies, ,nternational ABs, Aational
ABs and other organisations that supported or participated in the survey+ (!ll involved
in planning the survey and those organisations or individuals 2ho have provided staff,
vehicles, e7uipment, logistics)+
%+ Oist donors and other sources of funds
$+ Oist the individuals involved in the survey
-upervisor/"anager#
*onsultants/ Erainers/ !dvisors/ analysists#
Oogistics/administration#
Eeam members#
Eranslators#
3rivers#
Bthers
'+ (Bptional) Oist those 2ho gave permission/ authorisation and other2ise supported the
survey in a non-participatory 2ay+
.. ,ppendicies
.ppendi? "
"lausibility Report
.ppendi? &
,ssignment o( Clusters
eographical unit 4opulation size !ssigned cluster
! .((
Q %((( .,%,$,',5,&,),/,9
* $((( .(,..,.%,.$,.',.5,.&,.),./,.9,%(,%.
3 .((( %%,%$,%',%5,%&
= .((
9 5(( %),%/
%(( %9
< .(( $(
.ppendi? )
Evaluation o( Enumerators
/eight(
4recision# !ccuracy# Ao+ F/- Ao+ F/-
-um of -7uare -um of -7uare 4recision !ccuracy
>:%-:.? >-uperv+(:.F:%)-
=num+(:.F:%?
-upervisor (,.) '/5
=numerator . (,%. BJ (,$( BJ '/5 '/'
0eight(
4recision# !ccuracy# Ao+ F/- Ao+ F/-
-um of -7uare -um of -7uare 4recision !ccuracy
><%-<.? >-uperv+(<.F<%)-
=num+(<.F<%?
-upervisor %,9' '/'
=numerator . $,%' BJ 5,%' BJ &/$ )/$
=numerator % ',$. BJ ..,95 4BB0 &/' //.
MB.C(
4recision# !ccuracy# Ao+ F/- Ao+ F/-
-um of -7uare -um of -7uare 4recision !ccuracy
>"1!*%-"1!*.? >-uperv+("1!*.F"1!*%)-
=num+("1!*.F"1!*%?
-upervisor 9,(( '/%
=numerator . .%&,(( 4BB0 .995,(( 4BB0 '/% .(/(
=numerator % $',(( 4BB0 .'9,(( 4BB0 %/5 )/%
=numerator $ .&,(( BJ %.%$,(( 4BB0 %/5 .(/(
=numerator ' $$,(( 4BB0 .&%,(( 4BB0 ./) )/$
=numerator 5 %9,(( 4BB0 .%&,(( 4BB0 .// 5/$
9or evaluating the enumerators the precision and the accuracy of their measurements is
calculated+
9or precision the sum of the s7uare of the differences for the double measurements is
calculated+ Ehis value should be less than t2o times the precision value of the supervisor+
9or the accuracy the sum of the s7uare of the differences bet2een the enumerator values
(2eight.F2eight%) and the supervisor values (2eight.F2eight%) is calculated+ Ehis value
should be less than three times the precision value of the supervisor+
Eo chec8 for systematic errors of the enumerators the number of positive and negative
deviations can be used+
.ppendi? *
Result /ables (or %C01 growth re(erence $.**
Eable $+%# 4revalence of acute malnutrition based on 2eight-for-height z-scores (and/or
oedema) and by se5
.ll
n I $'$
2oys
n 7 .//
3irls
n 7 .55
8revalence of global
malnutrition
(9:& ':score and;or oedema)
(.(%) %9,) %
(%$,/ - $&,'
95% *+,+)
(5%) %),) %
(%.,( - $5,5
95% *+,+)
(5() $%,$ %
(%',5 - '.,%
95% *+,+)
8revalence of severe
malnutrition
($)) .(,/ %
(&,9 - .&,&
95% *+,+)
(%() .(,& %
(&,$ - .),5
95% *+,+)
(.)) ..,( %
(&,) - .),$
95% *+,+)
(9:) ':score and;or oedema)
Ehe prevalence of oedema is ',' %
Eable $+$# 4revalence of acute malnutrition by age, based on 2eight-for-height z-scores
and/or oedema
Severe <asting
(9:) ':score)
Moderate
<asting
(=7 :) and 9:&
':score )
Normal
(= 7 :& ' score)
$edema
.ge
(mo)
4otal
no
No 6 No 6 No 6 No 6
-:"> // 5 5,) %. %$,9 59 &),( $ $,'
4otal
$(& %. &,9 &% %(,$ %.. &9,( .% $,9
Eable $+'# 3istribution of acute malnutrition and oedema based on 2eight-for-height z-
scores
9:) ':score =7:) ':score
$edema present "arasmic 82ashior8or
Ao+ (
((,( %)
J2ashior8or
Ao+ .5
(',' %)
$edema absent "arasmic
Ao+ %%
(&,' %)
Aot severely malnourished
Ao+ $(&
(/9,% %)
Eable $+5# 4revalence of acute malnutrition based on "1!* cut offKs (and/or oedema)
and by se5
.ll
n I $''
2oys
n 7 .//
3irls
n 7 .5&
8revalence of global
malnutrition
(9 "&+ mm and;or oedema)
()&) %%,. %
(./,( - %&,/
95% *+,+)
($9) %(,) %
(.&,( - %&,'
95% *+,+)
($)) %$,) %
(./,% - $(,%
95% *+,+)
8revalence of severe
malnutrition
(9 ""+ mm and;or oedema)
($() /,) %
(5,. - .','
95% *+,+)
(.5) /,( %
($,9 - .5,)
95% *+,+)
(.5) 9,& %
(5,/ - .5,5
95% *+,+)
Eable $+&# 4revalence of acute malnutrition by age, based on "1!* cut offKs and/or
oedema
Severe <asting
(9 ""+ mm)
Moderate
<asting
(=7 ""+ mm
and 9 "&+ mm)
Normal
(= 7 "&+ mm )
$edema
.ge
(mo)
4otal
no
No 6 No 6 No 6 No 6
-:"> // ) /,( .' .5,9 &) )&,. $ $,'
4otal
$() ) %,$ $' ..,. %&& /&,& .% $,9
Eable $+5# 4revalence of acute malnutrition based on the percentage of the median
and/or oedema
n I $'$
8revalence of global acute
malnutrition
(9C16 and;or oedema)
(/%) %$,9 %
(./,9 - %9,/ 95%
*+,+)
8revalence of severe acute
malnutrition
(9>16 and;or oedema)
(%&) ),& %
(',$ - .$,. 95%
*+,+)
Table 3.': Prevalence of aln+trition by a#e, based on wei#ht(for(hei#ht percenta#e
of the edian and oedea
Severe
<asting
(9>16 median)
Moderate
<asting
(=7>16 and
9C16 median)
Normal
(= 7C16
median)
$edema
.ge
(mo)
4otal
no
No 6 No 6 No 6 No 6
-:"> // . .,. ./ %(,5 && )5,( $ $,'
4otal
$(& .( $,$ 5$ .),$ %$. )5,5 .% $,9
Eable $+)# 4revalence of under2eight based on 2eight-for-age z-scores by se5
.ll
n I $%9
2oys
n 7 .)9
3irls
n 7 .5(
8revalence of under<eight
(9:& ':score)
(.$/) '.,9 %
($5,& - '/,&
()$) '(,/ %
($$,. - '9,(
(&5) '$,$ %
($5,( - 5%,(
95% *+,+) 95% *+,+) 95% *+,+)
8revalence of severe
under<eight
(9:) ':score)
('%) .%,/ %
(/,9 - .),9
95% *+,+)
(.9) .(,& %
(&,) - .&,5
95% *+,+)
(%$) .5,$ %
(9,$ - %',%
95% *+,+)
Eable $+/# 4revalence of under2eight by age, based on 2eight-for-age z-scores
Severe
under<eight
(9:) ':score)
Moderate
under<eight
(=7 :) and 9:&
':score )
Normal
(= 7 :& ' score)
$edema
.ge
(mo)
4otal
no
No 6 No 6 No 6 No 6
-:"> /5 .. .%,9 %5 %9,' '9 5),& $ $,5
4otal
%95 '. .$,9 95 $%,% .59 5$,9 .% ',.
Eable $+9# 4revalence of stunting based on height-for-age z-scores and by se5
.ll
n I $''
2oys
n 7 .//
3irls
n 7 .5&
8revalence of stunting
(9:& ':score)
(9&) %),9 %
(%%,% - $',5
95% *+,+)
(5$) %/,% %
(%.,5 - $&,(
95% *+,+)
('$) %),& %
(%.,& - $','
95% *+,+)
8revalence of severe stunting
(9:) ':score)
($/) ..,( %
(),' - .&,%
95% *+,+)
(.$) &,9 %
(',( - ..,/
95% *+,+)
(%5) .&,( %
(.(,% - %',$
95% *+,+)
Eable $+.(# 4revalence of stunting by age based on height-for-age z-scores
Severe
stunting
(9:) ':score)
Moderate
stunting
(=7 :) and 9:&
':score )
Normal
(= 7 :& ' score)
.ge
(mo)
4otal
no
No 6 No 6 No 6
-:"> // 5 5,) .$ .',/ )( )9,5
4otal
$() $& ..,) 5) ./,& %.' &9,)
Eable $+..# "ean z-scores, 3esign =ffects and e5cluded sub6ects
,ndicator n "ean z-
scores L
-3
3esign
=ffect (z-
score H -%)
z-scores
not
availableM
z-scores
out of
range
:eight-for-
<eight
$%
/
-.,.&L.,&5 .,($ .& (
<eight-for-!ge
$'
'
-.,(%L.,9) .,5& ( (
M contains for :<G and :!G the children 2ith edema+
.ppendi? +
"aps of area
.ppendi? -
Duestionnaires

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