100% 11444 5938 · 4/17/2020 page0101 1/ 1 nutrition sur veillance system bulletin ,from , to 100%...
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4/17/2020 PAGE0101
1/1
Nutrition Surveillance System Bulletin ,From , To
100%
GovEn
All
DistrictEn
All
Nutrition Surveillance System Monthly Bulletin - Syria Early Warning Alert and Response Network
The cases classified as follow :
Lactating Normal Pregnant Normal Lactating Malnorished
Pregnant Malnorished
1868 1128 79 60
With great appreciation to our Partneres
ACU Ameen
BAHAR
IDA
PAC
QRCS sdi Shore HM
SRD
Month Code
202002
Partner
All
2020-02-292020-02-01
Pregnant and lactating women MUAC Screening continued in health facilities in Governorates. PLW were screened clssified as follow : 19 2 3135
Sex Distribution
52%
48%
<2
≥2
Nutritional StatusGAM rate by governerate
0%
2%
Aleppo Idleb (Blank)
2.19% 1.82%
Screened by Governerate
0K
5K
Aleppo Idleb (Blank)
7871
3572
Edema cases
0
MAMN
%
NormalN
%
SAMN
%
160 1.40% 11207 97.93% 77 0.67%
Gov
Screened
AleppoIdleb
178713572
Total 11444
During the reporting period( / , ) of the Reporting HFs across ( ) Governorates provided surveillance data for NSS , of reporting health facilities reported on time.32220 100%
The NSS Reporting HFs continue to upload malnutrition indicators’ data on tablets in all the centers in Governorate ( Districts), using ODK application.3 922
The total number of detected malnourished cases is ( ) out of ( ) , While , ( ) of the measured children were under 2 years old.237 11444 5938 52%
Total Screened Childre (6 To 59 Month),n = 9293 , based on MUAC Results : GAM rate was(191) 2.1 %(1.8 - 2.4 95% C.I.)
Based on weight for height GAM Rate : (98) 1.1 %(0.9 - 1.3 95% C.I.),Boys (79) 0.9 %(0.7 - 1.1 95% C.I.) ,Girls (19) 0.2 %(0.1 - 0.3 95% C.I.), according to the cutoff points of the WHO standards.
4/17/2020 Sumurry
1/1
Normal 98%
MAM 1%
Normal MAM SAM
Male 51%
49%Female
Child_Sex Male Female
Children ِU5 age distribution
<2
≥2
51.89%
48.11%
Nutrition Assessment Results
0
10
20
30
40
50
0
500
1000
1500
2000
2500
(Blank) Afrin Al Bab A'zaz Harim Idleb Jarablus Jebel Saman Jisr-Ash-Shugur1
1135
2322
1876
385
1073
1738
1550
1364
808
228173201
394486
616
229
MAM SAM PLW malnourished Children Screened PLW Screened
Nutrition Surveillance System Bulletin ,From , To 2020-02-292020-02-01
26.7%Stunting
(25.8 - 27.6 95% C.I.)11444Children Screened
77SAM
160MAM
2.07%GAM Rate
MUAC 2.1 %(1.8 - 2.4 95% C.I.) Weight for height 1.1 %(0.9 - 1.3 95% C.I.)
22Health Facilty
4.43%PLW GAM Rate
3135PLW Screened
139PLW Malnourished
0Oedema
4/17/2020 CH GAM
1/1
GAM rate by subdistrict GAM rate by district
MAM SAM
GAM rate by district
0%
1%
2%
3%
(Blank) Afrin Al Bab A'zaz Harim Idleb Jarablus Jebel Saman Jisr-Ash-Shugur
2.20% 2.26%1.84%
2.05%
1.40%
2.77%
0.52%
1.94%
2.07%GAM rate
MAM
160
Normal
11207
SAM
77
Nutrition Surveillance System Bulletin ,From , To
GAM Rate by SubDistrict GAM rate by community AR EN
160 (1%)
11207 (98%)
77 (1%)
MAM Normal SAM
2020-02-292020-02-01
4/17/2020 CH GAM-IDP
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GAM Rate Trends Analysis by district (Children Under 5)Month
District Gov Idp Status Malnutrition Cases Screened GAM RATE
202002202002202002202002202002202002202002202002202002202002202002202002202002202002202002202002202002
AfrinAfrinAl BabAl BabA'zazA'zazHarimHarimIdlebIdlebJarablusJarablusJebel SamanJebel SamanJisr-Ash-ShugurJisr-Ash-Shugur
AleppoAleppoAleppoAleppoAleppoAleppoIdlebIdlebIdlebIdlebAleppoAleppoAleppoAleppoIdlebIdleb
IDPIDPResidentIDPResidentIDPResidentIDPResidentIDPResidentIDPResidentIDPResidentIDPResident
0456
269
320
22687
302220
148
12106216762788
1464274
1012352526547
1180696264121825310
0.00%2.14%2.78%3.41%1.14%2.19%0.00%2.17%1.70%1.52%1.28%2.54%3.16%0.76%0.00%1.70%2.58%
Total 237 11444 2.07%
ENARGAMRATE and Screened by DistrictEn and IdpStatus
0%
1%
2%
3%
4%
Jarablus Al Bab Afrin Harim Jisr-Ash-Shugur A'zaz Idleb Jebel Saman (Blank)
IdpStatus IDP Resident
Normal, MAM and SAM by Go…
0K
2K
4K
6K
8K
Aleppo Idleb (Blank)
7699
3507
Normal MAM SAM
Normal, MAM and SAM by DistrictEn
0
500
1000
1500
2000
2500
(Blank)Afrin
Al BabA'zaz
Harim IdlebJarablus
Jebel Saman
Jisr-Ash-Shugur
2271
1515
1706
1336
1058
1824
383
1113
Normal MAM SAM
Normal, MAM and SAM by IdpSt…
0K
2K
4K
6K
8K
10K
IDP
Resident
7961
3246
Normal MAM SAM
4/17/2020 CH GAM By Year
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GAM Rate Trends Analysis by Year (Children Under 5)
2%
4%
6%
8%
01_January 02_February 03_March 04_April 05_May 06_June 07_July 08_August 09_September 10_October 11_November 12_December
Year 2017 2018 2019 2020
GAM Rate Trends Analysis by Gov / Month / Year (Children Under 5) :
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
201707 201708 201709 201710 201711 201712 201801 201802 201803 201804 201805 201806 201807 201808 201809 201810 201811 201812 201901 201902 201903 201904 201905 201911 201912 202001 202002 202003
Gov En (Blank) Aleppo Ar-Raqqa Dar'a Hama Homs Idleb Quneitra Rural Damascus
ENAR
4/17/2020 Trends
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GAM Rate Trends Analysis by district (Children Under 5) : Aleppo, Ar-Raqqa
0%
5%
10%
15%
20%
201707 201708 201709 201710 201711 201712 201801 201802 201803 201804 201805 201806 201807 201808 201809 201810 201811 201812 201901 201902 201903 201904 201905 201911 201912 202001 202002 202003
DistrictEn Afrin Al Bab Ar-Raqqa Ath-Thawrah A'zaz Jarablus Jebel Saman Menbij Tell Abiad
GAM Rate Trends Analysis by district (Children Under 5) : Idleb, Hama
0%
2%
4%
6%
8%
10%
201707 201708 201709 201710 201711 201712 201801 201802 201803 201804 201805 201806 201807 201808 201809 201810 201811 201812 201901 201902 201903 201904 201905 201911 201912 202001 202002 202003
District Al Ma'ra Ariha As-Salamiyeh As-Suqaylabiyah Hama Harim Idleb Jisr-Ash-Shugur Muhradah
ENAR
4/17/2020 PLW
1/1
AR EN
4.43%PLW Malnutrition rate
1868 (96%)
79 (4%)
Lactating_Normal
Lactating_Malnorished1128 (95%)
60 (5%)
Pregnant_Normal
Pregnant_Malnorished
1188 (38%)
1947 (62%)
Pregnant Screened
Lactating Screened
PLW Malnutrition rate by districtPLW Malnutrition rate by subdistrict
PLW Malnutrition rate by district
0%
2%
4%
6%
8%
Afrin Al Bab A'zaz Harim Idleb Jarablus Jebel Saman Jisr-Ash-Shugur
5.69% 5.84%
1.23%
7.42%
3.48%
5.84%
1.16% 0.88%
Nutrition Assessment Results - (Pregnant and Lactating Women)
3135PLW Screened
Nutrition Surveillance System Bulletin ,From , To
60Pregnant Malnorished
79Lactating Malnorished
19Health Facilty
4/17/2020 PLW GAM-IDP
1/1
PLW TotalIDP Status Gov PLW Normal PLW malnourished PLW Screened PLW GAM Rate
IDPIDPResidentResident
AleppoIdlebAleppoIdleb
1748452616180
84152911
1832467645191
4.59%3.21%4.50%5.76%
Total 2996 139 3135 4.43%
ENARPLW GAM Rate by Dist and IDP Status
0%
5%
10%
Afrin Al Bab A'zaz Harim Idleb Jarablus Jebel Saman Jisr-Ash-Shugur
IdpStatus IDP Resident
PLW Normal and PLW malnour…
0
500
1000
1500
2000
2500
AleppoIdleb
2364
632
PLW Normal PLW malnouris…
PLW Normal and PLW malnourished by District En
0
200
400
600
800
1000
AfrinAl Bab
A'zazHarim Idleb
Jarablus
Jebel Saman
Jisr-Ash-Shugur
762
580
480
212 194
371
171226
PLW Normal PLW malnourished
PLW Normal and PLW malnouris…
0
500
1000
1500
2000
2500
IDP
Resident
2200
796
PLW Normal PLW malnourished
4/17/2020 PLW GAM-By Year
1/1
PLW GAM Rate by Month Number and Year
4%
6%
8%
10%
12%
01_January 02_February 03_March 04_April 05_May 06_June 07_July 08_August 09_September 10_October 11_November 12_December
5.10%
4.20%
5.26%
3.05%3.91% 4.04%
4.39%4.15%
5.71%5.28%
12.68%
5.27%
7.17%6.61% 6.55%
3.39%
5.94%
4.33%
4.43%
Year 2018 2019 2020
MonthCode
PLW GAM Rate PLW Screened PLW malnourished
201805201806201807201808201809201810201811201812201901201902201903201904201905201911201912202001
5.10%3.91%4.39%4.04%5.26%4.15%3.05%4.20%5.71%6.61%7.17%5.27%
12.68%6.55%5.28%3.39%
94765547
120629407
12039146831193513062132859760
161971846811409471738242096
483217530380633609364549758645
1162973
144730920271
Total 5.52% 174812 9647
PLW GAM Rate by Gov En
0%
5%
10%
15%
20%
Quneitra Idleb Hama Dar'a Ar-Raqqa Aleppo
0.24%
4.63% 4.36%
6.50%
18.14%
5.27%
4/17/2020 program Life
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Total screened by governerate
Aleppo 390817
Idleb 327191
Ar-Raqqa 80792
Dar'a 67011
Homs 20323
GAM rate by district during programme lifeprogramme Life
Reporting H.F , Timeliness and completeness by month
0.0
0.5
1.0
0
100
2017-07-31
2017-08-31
2017-09-30
2017-10-31
2017-11-30
2017-12-31
2018-01-31
2018-02-28
2018-03-31
2018-04-30
2018-05-31
2018-06-30
2018-07-31
2018-08-31
2018-09-30
2018-10-31
2018-11-30
2018-12-31
2019-01-31
2019-02-28
2019-03-31
2019-04-30
2019-05-31
2019-10-31
2019-11-30
2019-12-31
2020-01-31
2020-02-29
2020-03-31
39
20
132
19
76
107
83
81 81
105
84
98
20
9588
82
101
20
82
104
81
111
20
97
102
82130
20
82
Completeness% Timeliness% Reporting H.F.
Children GAM rate by governerate during programme life
0%
2%
4%
6%
8%
Dar'a Homs Hama Idleb Quneitra Aleppo RuralDamascus
Ar-Raqqa
1.58% 2.17% 2.62% 2.70% 2.74% 3.18%
6.58%7.32%
Children screened by year
227138
451110
199202
28393Year
2017
2018
2019
2020
ENAR
905843
PLW screened by year
8821177660
7981Year
2018
2019
2020
173852
4/17/2020 12-under 6m
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% Why NotBreastfed
0%
20%
40%
60%
80%
100%
No
18.37%
36.73%
7.14%
8.16%
12.24%
9.18%
Breast_milk_doesn't_exist
Breast_milk_quantity_is_not_sufficient
Mother/baby_injured_so_not_able_to_breastfeed
Mother_dead
Mother_had_problems_breastfeeding_so_stopped
Mother_never_breastfed
other_reasons
Prefers_to_use_infant_formula_or_baby_milk
Chıldren under 6 month Screened
1376Nutrition Assessment Results - (Children Under 6 Month)
Child Exlusive Breast Feed
940 (68%)
436 (32%)
Exlusive Breast Feed
Non Exlusive
Breastfed
Yes 1278 (93%)
No 98 (7%)
Sex Distribution
Male 713 (52%)
663 (48%)Female
2020-02-292020-02-01Nutrition Surveillance System Bulletin ,From , To
ENAR
4/17/2020 13-6 to 23 m-01
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Chıldren 6 month to 23 Screened
4562Nutrition Assessment Results - (Child 6 to 23 Month )
2020-02-29Nutrition Surveillance System Bulletin ,From , To2020-02-01
Others ( Milk Goats , Etc ..)
No 3256 (71%)
Yes 1306 (29%)
Breastfed
Yes 3078 (67%)
No 1484 (33%)
Sex Distribution
2298 (50%)
2264 (50%)
Male
Female
Child have mother or father
0%
20%
40%
60%
80%
100%
Father Mother Bothe
0.31%5.33%
94.37%
42.85% 47.22%
4/17/2020 14-Stunting
1/1
Nutrition Assessment Results - (Stunting and Under Weight ) Children Screened
10068stunting By Sex
0%
10%
20%
30%
Total Girls Boys
26.7%24.2%
29.1%
Des Total Girls Boys
Underweight by Sex
0%
2%
4%
6%
Total Girls Boys
6.3% 6.1%6.6%
Des Total Girls Boys
stunting by age
0%
10%
20%
30%
06-17 18-29 30-41 42-53 54-59
23.8%
32.3% 30.4%25.5%
18.2%
Age 06-17 18-29 30-41 42-53 54-59
Underweight by age
0%
2%
4%
6%
8%
06-17 18-29 30-41 42-53 54-59
7.5%6.4%
5.4% 5.4% 5.5%
Age 06-17 18-29 30-41 42-53 54-59
2020-02-29Nutrition Surveillance System Bulletin ,From , To2020-02-01
26.7%Stunting
(25.8 - 27.6 95% C.I.)confidence interval
4/17/2020 6 to 23 m-02
1/1
Children 6 month to 23 Screened
4562
Nutrition Assessment Results - (Child 6 to 23 Month ) Nutritional status by district (Children6-23 month)
Nutrition Surveillance System Bulletin ,From , To 2020-02-292020-02-01
Immunization
Yes 99%
No 1%
% of children Dissability
No 99%
Yes 1%
Child 6-23 m defecate frequency during last 24 Hours
0K
1K
2K
3K
4K
0 2 4 6 8 10
824
37823240
1208610
DirehRevised 0 1 2 3 4 5 6 7 8 9 10
Child 6-23 m Tempreture frequency during last month
0
500
1000
1500
2000
2500
0 2 4 6 8 10
1167
23041992
1220870
606420 272
TempretureRevised 0 1 2 3 4 5 6 7 8 9 10