Nepal: Comprehensive Nutrition and Food Security Assessment – Udayapur District – Final Report (June 2022) [EN/NE] – Nepal

Nepal: Comprehensive Nutrition and Food Security Assessment – Udayapur District – Final Report (June 2022) [EN/NE] – Nepal

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1. EXECUTIVE SUMMARY

The Comprehensive Nutrition and Food Security Assessment (CNFSA) was performed in Udayapur district positioned within the Eastern Nepal (Province 1 as per the brand new federal construction) from 10 to 19 June 2022.

According to the Nepal Demographic and Health Survey (NDHS) report, in comparison with stunting, Global Acute Malnutrition (GAM or losing) has remained significantly unchanged during the last decade: 11% in 2001, 13 % in 2006, 11% in 2011 and 10% in 2016. However, there’s lack of district particular data on the dietary standing of the inhabitants.

The goal of the evaluation was to find out and consider the present dietary standing of the inhabitants of kids 6-59 months. The evaluation additionally measured the meals safety standing prevailing at family stage that in the end contribute to undernutrition within the district.

The particular targets have been as follows:

• To decide prevalence of acute and power malnutrition (together with world acute malnutrition, extreme and reasonable acute malnutrition, mixed world acute malnutrition price, stunting and underweight) amongst kids 6-59 months within the district

• To assess meals safety standing of the inhabitants leaving within the district

The pattern measurement was calculated by utilizing Emergency Nutrition Assessment (ENA) software program (11 January 2020 model). The information was collected from 22 households per cluster of 65 chosen clusters utilizing Kobo. A complete of 755 kids of 6 to 59 months previous have been included for the anthropometry. A complete of 1,430 households have been visited to finish the entire evaluation. The anthropometry of the youngsters 6-59 months (MUAC, top/size, weight) and evaluation of bilateral pitting oedema was taken at family stage. Additional questionnaires associated to meals safety standing was additionally administered on the family stage in the identical chosen family.

Key evaluation findings, Comprehensive Nutrition and Food Security Assessment, Udayapur district, Nepal, June 2022

The Global Acute Malnutrition (GAM) price was 15.1% by weight-for-height indicator and seven.3% by MUAC solely. The total stunting price was discovered as excessive as 26.4% and underweight of 25.7%. The threshold for losing and stunting prevalence printed in 2018 by the UNICEF/WHO additionally classifies the scenario as to be at excessive and medium stage respectively for each the indications. In addition, for underweight the scenario is at ‘excessive’ stage.

The prevalence of oedema is 0.0 %.

The findings for meals safety reveals that the lowered coping technique index (rCSI) was 1.60 with a minimal of 0 to most of 30 rating. The common family dietary range rating (HDDS) was discovered to be 6.96. The HDDS rating and MUAC present a powerful correlation implying that that family dietary range rating impacts the MUAC (acute malnutrition) amongst kids.

DISCUSSION/CONCLUSION

According to this evaluation, the acute malnutrition price for youngsters 6-59 months previous, discovered at 15.1% (12.1-18.8, 95% C.I.), is of excessive concern and nicely above the emergency WHO threshold fastened at 15percent1. The SAM price can also be extraordinarily worrying being at 3.2% (2.0-5.0, 95% C.I.). Stunting and underweight additionally appears problematic, with kids aged 6-59 months in Udayapur district with 26.4% (22.9-30.1, 95% C.I.) and 25.7% (22.1-29.6, 95% C.I.) respectively. It is subsequently essential to offer dietary assist to those kids in a well timed method.

When extrapolating the malnutrition charges discovered below this evaluation, at any level of time 8,677 kids are anticipated to be stunted in Udayapur district out of the full 6-59 months kids inhabitants of 32,869 (primarily based on HMIS 2021/22 inhabitants). Similarly, 4,963 kids are anticipated to be acutely malnourished by WHZ and/or oedema and eight,447 undergo from underweight.

It is clear from the evaluation findings that WHZ and MUAC don’t at all times detect the identical kids as malnourished. The mixed acute malnutrition price utilizing WHZ, oedema and MUAC standards, being at 17.2% is larger than the acute malnutrition price estimated by separated indicators (15.1% by WHZ and seven.3% by MUAC).

It was noticed that among the many wasted kids (WHZ <-2SD), 34.2% kids have been additionally stunted and 80.7% have been underweight on high of losing. This reveals that kids could also be affected by a number of kinds of undernutrition, resulting in an elevated danger of dying in comparison with kids with one sort of undernutrition or wholesome kids.

BASED ON THE ASSESSMENT FINDINGS, THE MAJOR RECOMMENDATIONS ARE AS FOLLOWS:

• Design and implement Integrated Management of Acute Malnutrition programme with each vitamin particular and delicate parts to handle the excessive burden of malnutrition amongst kids 6-59 months

• Emphasise case detection by each energetic and passive screening (particularly in recognized pocket areas) taking MUAC and WHZ to seek out the lacking instances not detected by MUAC standalone in neighborhood and well being facility stage linking with CB-IMCI

• Reinforce neighborhood primarily based progress monitoring and promotion actions in well being services specializing in figuring out progress failure and promotion of age particular IYCF practices

• Highlight vitamin surveillance system by way of vitamin surveys to permit identification of malnutrition traits primarily based on seasonality and totally different time durations

• Implement social and behavior change communication interventions specializing in important vitamin actions

• Design and implement focused vitamin delicate meals safety and livelihood actions, Baby WASH and different WASH associated actions with a purpose to guarantee multi sectoral strategy to handle malnutrition

• Advocate native authorities and different related stakeholders to spend money on each vitamin particular and delicate interventions

• Promote dwelling gardening to enhance dietary range particularly amongst kids contributing to good vitamin standing

• Health System Strengthening prognosis, planning and strengthening needs to be applied with deal with vitamin to handle total vitamin challenges within the district

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