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NUTRITION AND MORTALITY SURVEY REPORT BORNO STATE, · PDF file Borno State is one of the thirty six states in the Federal Republic of Nigeria, and has an estimated population of 4.5

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    NUTRITION AND MORTALITY

    SURVEY REPORT

    BORNO STATE, NIGERIA

    FINAL REPORT

    August 2018

    Conducted by Save the

    Children International

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    TABLE OF CONTENT

    LIST OF TABLES ............................................................................................................................. v

    LIST OF FIGURES .......................................................................................................................... vi

    ACKNOWLEDGEMENT ............................................................................................................. vii

    LIST OF ABBREVIATIONS/ACRONYMS ................................................................................... viii

    EXECUTIVE SUMMARY ................................................................................................................ ix

    CHAPTER 1: BACKGROUND ...................................................................................................... 1

    1.1 Introduction: ............................................................................................................................. 1

    1.2 Survey Objectives ..................................................................................................................... 3

    1.3 Survey Areas ............................................................................................................................. 3

    1.4 Survey Timing ............................................................................................................................ 3

    CHAPTER 2: METHODOLOGY ................................................................................................... 4

    2.1 Survey Design ............................................................................................................................ 4

    2.2 Sample Size Estimation .............................................................................................................. 4

    2.3 Sampling Procedure: ................................................................................................................. 4

    2.3.1 Selection of Clusters ...................................................................................................... 4

    2.3.2 Selection of Households and Children .......................................................................... 4

    2.4 Questionnaire and Training ...................................................................................................... 5

    2.4.1 Questionnaire ................................................................................................................ 5

    2.4.2 Data Collection Team and Training ............................................................................... 5

    2.5 Data Collection, Supervision, Data Quality and Analysis ......................................................... 5

    2.6 Survey Limitations ..................................................................................................................... 6

    CHAPTER 3: SURVEY RESULTS .................................................................................................... 7

    3.1 Response Rate and Data Quality .............................................................................................. 7

    3.1.1 Response Rate ................................................................................................................ 7

    3.1.2 Data Quality ................................................................................................................... 7

    3.2 Demographic and Household Characteristics .......................................................................... 8

    3.3 Anthropometric Results ........................................................................................................... 9

    3.3.1 Introduction ................................................................................................................... 9

    3.3.2 Sex and Age Distribution ............................................................................................... 9

    3.3.3 Prevalence of Acute Malnutrition .................................................................................. 9

    3.3.4 Prevalence of Underweight .......................................................................................... 11

    3.3.5 Prevalence of Stunting .................................................................................................. 12

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    3.4 Mortality Results ..................................................................................................................... 13

    3.5 Children Morbidity.................................................................................................................. 14

    3.6 Measles Immunization and Vitamin A Supplementation ......................................................... 15

    3.7 Infant and Young Children Feeding ........................................................................................ 15

    3.7.1 Early Initiation of Breastfeeding ................................................................................... 15

    3.7.2 Exclusive Breastfeeding Rate ........................................................................................ 16

    3.7.3 Minimum Dietary Diversity .......................................................................................... 17

    3.7.4 Minimum Meal Frequency ............................................................................................ 17

    3.7.5 Minimum Acceptable Diet ........................................................................................... 18

    3.8 Maternal Nutrition .................................................................................................................. 18

    3.8.1 Maternal Characteristics .............................................................................................. 18

    3.8.2 Physiological Status ...................................................................................................... 19

    3.8.3 Maternal Nutritional Status based on MUAC ............................................................. 19

    3.9 Food Security .......................................................................................................................... 20

    3.9.1 Main Source of Food .................................................................................................... 20

    3.9.2 Household Dietary Diversity Score............................................................................. 21

    3.9.3 Food Consumption Score ............................................................................................ 22

    3.9.4 Food Consumption Score - Nutrition ......................................................................... 23

    3.10 Water and Sanitation ............................................................................................................ 23

    3.10.1 Source of Drinking Water ......................................................................................... 24

    3.10.2 Water Treatment ....................................................................................................... 24

    3.10.3 Hand Washing ............................................................................................................ 25

    3.10.4 Sanitation Facilities ..................................................................................................... 25

    4.1 Discussion ............................................................................................................................... 26

    4.1.1 Nutrition Situation among Children Aged 6-59 Months ............................................. 26

    4.1.2 Morbidity among Children Aged 6-59 Months ............................................................ 27

    4.1.3 Maternal Nutritional Status.......................................................................................... 28

    4.1.4 Mortality ....................................................................................................................... 29

    4.1.5 Measles Immunization and Vitamin A Supplementation .............................................. 29

    4.1.6 Infant and Young Children Feeding Practices. ............................................................. 29

    4.1.7 Water, Sanitation and Hygiene .................................................................................... 30

    4.2 Conclusions ............................................................................................................................. 31

    4.2.1 Nutritional Status of Under-Five and Mortality Rates ................................................. 31

    4.2.2 Morbidity ...................................................................................................................... 31

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    4.2.3 Measles Immunization and Vitamin A Supplementation .............................................. 31

    4.2.4 Maternal Nutrition ....................................................................................................... 31

    4.2.5 Food Security ............................................................................................................... 31

    4.2.6 Infant,

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