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fechar este livroRefugee Nutrition Information System (RNIS), No. 14 - Report on the Nutrition Situation of Refugees and Displaced Populations (UNSSCN, 1996, 45 p.)
fechar esta pastaList of Tables, Figures and Annexes
Ver o documentoTable 1 - Information Available on Total Refugee/Displaced Populations (as of February 1996)
Ver o documentoTable 2 - Summary of Origin and Location of Major Populations of Refugees, Returnees and Displaced People in Africa February 1996 - RNIS #14 (population estimates in thousands)
Ver o documentoFigure 1 - Refugee and Displaced Populations
Ver o documentoFigure 2 - Trends in Total Refugee/Displaced Populations and Risk Categories
Ver o documentoFigure 3 - Trends in Population Estimates and Risk Categories in Six Countries
Ver o documentoAnnex 1 - Results of Surveys Quoted in February RNIS Report (#14) - usually children 6-59 months
Ver o documentoAnnex 2 - Seasonality in Sub-Saharan Africa*

Table 1 - Information Available on Total Refugee/Displaced Populations (as of February 1996)


Population Numbers

Nutr


Situation

Condition

Total

Change from

Stat*

Comments


I: High

IIa: High

IIb: Mod

IIc: Not

III:


Dec. 95




Prev

Risk

Risk

Critical

Unknown





Sub-Saharan Africa










1. Angola (id/wa)

10'400


1'389'600



1'400'000

0

imp

Pockets of malnutrition are likely to exist in inaccessible areas.

2. Benin/Ghana/Togo Region




110'000


110'000

-14'000

stat

Decrease in total due to repatriation.

3. Burkina Faso/Mauritania




68'000


68'000

0

imp

Nutritional status probably improving due to improved ration.

4. Burundi/Rwanda Region


308'000

186'000

2'380'000


2'874'000

-203'400

stat

Decrease in total due to decreased estimated number of displaced in Burundi.

5. Central African Republic




38'800


38'800

0

stat


6. Djibouti




25'000


25'000

0

stat

Increase due to a revised number of Somali refugees.

7. Ethiopia

81'000


173'000

134'000


388'000

0

stat


8. Kenya




173'000


173'000

-13'000

det

Decreased number due to continuing repatriation of Somali refugees.

9. Liberia/Sierra Leone/Guinea/Cote d'Ivoire

57'400

672'600

1'705'000

1'105'000


3'540'000

0

stat/det

Pockets of malnutrition may exist in Liberia in inaccessible areas; deteriorating security and nutritional situation in Sierra Leone.

10. Mauritania/Senegal




52'000


52'000

0

stat


11. Mozambique Region

3'500

246'500


950'000


1'200'000

410'000

det

Displaced in Mutarara at high risk due to pellagra. More vulnerable people due to lower than expected harvests, and subsequent lack of food stocks.

12. Somalia

26'000

814'000




840'000

240'000

det

Increased number of vulnerable people due to continued insecurity.

13. Sudan





2'300'000

2'300'000

900'000

det

Increased total due to increased number of those needing aid in S Sudan.

14. Uganda




222'000


222'000

-6'800

imp

Reduced estimated numbers due to census in October.

15. Zaire

262'000



443'000


705'000

0

stat

Those in Mwene Ditu at high risk.

16. Zambia




26'000


26'000

13'300

stat

The increased number is due to an update estimate, not an influx of refugees.

Total (Sub-Saharan Africa)

440'300

2'041'100

3'453'600

5'726'800

2'300'000

13'961'800

1'326'100



Asia (Selected Situations)










17. Afghanistan Region


370'000


2'730'000


3'100'000


stat

Those in Kabul considered to be at high risk.

18. Bhutanese Refugees in Nepal




90'000


90'000

0

imp

Low levels of micronutrient deficiencies continue to be reported.

19. Bangladesh

50'000





50'000

0

stat

At high risk due to elevated prevalence of riboflavin deficiency.

20. Southern Iraq


192'000


28'000


220'000

0

det

Those in Marshes considered at nigh risk.

I. High Prev - Those reported with high prevalences of malnutrition and/or micronutrient deficiency diseases and sharply elevated mortality rates (at least 3x normal).

IIa: High Risk - At high nutritional risk, limited data available, population likely to contain pockets of malnutrition.

IIb: Mod Risk - Moderate risk, may be data available, pockets of malnutrition may exist.

IIc: Not Critical - Probably not at heightened nutritional risk.

III: Unknown - No information on nutritional status available.

* Indicates status of nutritional situation. Imp =improving, det = deteriorating; stat = static (i.e. no change).

Table 2 - Summary of Origin and Location of Major Populations of Refugees, Returnees and Displaced People in Africa February 1996 - RNIS #14 (population estimates in thousands)


To/In

From

Angola

Benin

Burkina Faso

Burundi

Cote d'Ivoire

Eritrea

Ethiopia

Ghana

Guinea

Kenya

Liberia

Mali

Mauritania

Mozambique

Rwanda

Sierra Leone

Somalia

Sudan

Tanzania

Togo

Uganda

Zaire

Zambia

TOTAL

Angola

1'400





















50

26

1'476

Benin
























0

Burkina Faso
























0

Burundi




170















86



106


362

Cote d'Ivoire
























0

Eritrea


















160






160

Ethiopia







11



6








40






57

Ghana




















6




6

Guinea
























0

Kenya







24

















24

Liberia





305



14

477


1'700













2'496

Mali



33










35











68

Mauritania
























0

Mozambique














1'200










1'200

Rwanda




105











737




567


6

1'090


2'505

Sierra Leone









128


100





730








958

Somalia







275



126







840







1'241

Sudan







60



41








2'100



210

50


2'461

Tanzania
























0

Togo


20






71
















91

Uganda






















14


14

Zaire





















12

600

7

619

Zambia
























0

TOTAL

1'400

20

33

275

305

0

370

85

605

173

1'800

0

35

1'200

737

730

840

2'300

653

6

228

1'910

33

13'738

NOTES:

(1) This chart is intended to include major population groups in Africa (i.e. over 100,000 people affected from country of origin).

(2) Boxes on the diagonal (shaded) show internally displaced populations (total = 9.5 million).

(3) Numbers referred to in the text are usually by the country where the population is located (i.e. column totals). For the regional situations of Burundi/Rwanda and Liberia/Sierra Leone the description is by country of origin (i.e. row totals).

Figure 1 - Refugee and Displaced Populations


Figure 1 - Refugee and Displaced Populations - Selected Areas in Africa (February 1996)

Figure 2 - Trends in Total Refugee/Displaced Populations and Risk Categories


Figure 2 - Trends in Total Refugee/Displaced Populations - By Risk Categories Africa: December 1993-December 1995

Figure 3 - Trends in Population Estimates and Risk Categories in Six Countries


Angola


Burundi/Rwanda Region


Liberia


Mozambique


Somalia


Sudan

Annex 1 - Results of Surveys Quoted in February RNIS Report (#14) - usually children 6-59 months

Survey Area

Survey Conducted by

Dale

% Wasted*

% Severely Wasted*

Oedema (%)

Crude Mortality (/10,000/day)

Under 5 Mortality (/10,000/day)

Measles Immunisation Coverage

Other Data

1. Angola











a. Benguela City

MSF-F

Nov. 95

4.4

1.6

0.0



44.4



b. Calulu, Kwanza Sul Province

WV


4.8**

3.0**







c Dange-Ya-Mena, Kwanza Norte

WV


4.9**

2.0**







d. Galungo Alto

WV

Oct. 95

20.4**

12**

10.1



47.6



e. Mavinga, Cuando Cubango

AICF

Nov. 95

7.6

1.0

0.0

0.43

1.6




f. Balombo, Benguela Province

CRS


14 (MUAC)

4.3 (MUAC)







g. M'banza Congo Town

MSF-H

Jan 96

14.0**

3.4**






4. Burundi/Rwanda Region











a. Muhanga Camp

MSF-H

Nov. 95

16.1**

50**







b. Gasenyi Camp

MSF-H

Nov. 95

15.0**

3.9**







c. Gohombo Camp

MSF-H

Nov. 95

18.2**

3.0**







d. Buraniro Camp

MSF-H

Nov. 95

17.2**

4.1**






9. Liberia Region











a. Putu, Grand Gedeh County (Liberia)

WV

Dec. 95

31.7 (<80%)**

5.7 (<70%)**







b. Gondama (Sierra Leone)

AICF

Oct. 95

28.1

5.7

1.9

2.7

4.0

97.7



c. Bonthe Islands (Sierra Leone)

MSF-B

Nov. 95

12.9

23

2.4

2.7


24.0



d. Macenta (Guinea)

AICF

Nov. 95

5.7

0.9

0.3





12. Somalia











a. Bardera, Gedo Region

AICF

Nov. 95

19.3

3.6

28



68.0


13. Sudan











a. Mogale Camp (S Sudan)

AICF

Nov. 95

16.0**

1.3**







b. Um Rakuba

SRRA

Sep. 95

7.0 (<80%)








c. Safawa

SRRA

Sep. 95

6.4 (<80%)








d. Wad Sherife

SRRA

Sep. 95

13.0 (<80%)








e. K Girba

SRRA

Sep. 95

10.4 (<80%)








f. Shagarab Camps

SRRA

Sep. 95

15.3 (<80%)







14 Uganda











a. Koboko Camp

MSF-H

Jan. 96

11.2**

1.1**






15. Zaire











a. Luputu, Kasai

MSF-B

Nov. 95

9.9

1.3

1.6






b. Gandajika, Kasai

MSF-B

Nov. 95

6.8

0.6

4.0






c. Likasi, Kasai

MSF-B

Dec. 95

5.3

0.3

0.0






d. Mwene Ditu (Resident)

MSF-B

Oct. 95

17.8**

4.8**







e. Mwene Ditu (Displaced)

MSF-B

Oct. 95

42.9**

9.3**






17. Afghanistan Region











a. Kabul

AICF

Nov. 95

6.6

1.2

0.6




15.6% Women had BMI <18.5


b. New Hadda Camp

MSF-H

Dec. 95

4.0**

0.6**

0.1

0.2




18. Bhutanese Refugees in Nepal











a. All 8 Camps

SCF

Nov. 95

1.3 (<80%)






Incidence of micronutrient deficiencies decreasing

19. Refugees in Bangladesh











a. All camps

UNHCR

1995

9.5

0.2


0.25

0.58


High incidence of angular stomatisis.

* wt/ht unless specified; cut-off = n.s. means not specified but usually -2SD wt/ht for wasting and -3SD wt/ht for severe wasting

**Oedema is included in this figure.

NOTE: see box on pg 4 for guidance in interpretation of indicators.

SRRA = Sudanese Relief and Rehabilitation Association

NOTES on Annex 1

1. Angola

a. This survey was conducted by MSF-France in Benguela City in November 1995. 976 children 6-59 months old were included in the survey. Wasting was defined as wt/ht <-2z scores and severe wasting was <-3z scores. No cases of oedema were seen.

b. This survey was conducted by World Vision in Calulu, Kwanza Sul province. The information was obtained from a Humanitarian Assistance in Angola update, and no further details are currently available.

c. This survey was conducted by World Vision in Kwanza Norte province. The information was obtained from a Humanitarian Assistance in Angola update, and no further details are currently available.

d. This survey was carried out by World Vision from 23-27 October 1995 in Golungo Alto, Kwanza Norte province. This was a two stage cluster sample and children 6-59 months were included. Wasting was defined as wt/ht <-2 sd of the median weight for height and/or oedema, and severe wasting <-3 sd of the median weight/height and/or oedema. Oedema was also measured separately.

e. This survey was carried out by AICF in Mavinga, Cuando Cubango province from 26 October-6 November 1995. This was a cluster sample survey and 780 children 6-59 months (65-110 cms height used if age unknown). Wasting was defined as wt/ht <-2 sd and severe wasting was <-3 sd. Oedema was measured separately.

f. This survey was conducted by Catholic Relief Services (CRS) in Balumbo, Benguela Province. Wasting was measured by MUAC. This information was obtained from a Humanitarian Assistance in Angola update, and no further details are currently available.

g. This survey was carried out by MSF-Holland from 30-31 January 1996 in M'banza, Angola. It was a cluster sample survey, and 506 children were included in the survey. Wasting is defined as wt/ht <-2 sd and/or oedema and severe wasting as <-3 sd and/or oedema.

4. Burundi/Rwanda Region

a-d. These surveys were conducted by MSF-Holland at the end of November 1995. Wasting is defined as wt/ht <-2 sd and/or oedema and severe wasting as <-3 sd and/or oedema.

9. Liberia/Sierra Leone Region

a. This was a rapid nutrition assessment conducted in December 1995 by World Vision. Children 6-59 months old were included in the survey; where age was not known, the upper limit was 115 cms. A random sampling method was used and 265 children were weighed and measured. Wasting was defined as wt/ht <-2 sd of the median weight for height and/or oedema, and severe wasting <-3 sd of the median weight/height and/or oedema.

b. This survey was carried out by Action Internationale Contre la Faim (AICF) from 10-13 October 1995. This was a 30x30 cluster survey including 917 children 6-59 months old. Wasting was defined as wt/ht <-2 z scores and severe wasting <-3 z scores. Oedema was measured separately.

c. This survey was conducted by MSF-Belgium from 24-26 October 1995. This was a cluster survey that included 796 children 6-59 months old. Wasting was defined as wt/ht <-2 z scores and severe wasting <-3 z scores. Oedema was measured separately.

d. This survey was conducted by Action Internationale Contre la Faim (AICF) from 18-25 November 1995. This was a two stage cluster sample survey that included 935 children 6-59 months old. Wasting was defined as wt/ht <-2 z scores and severe wasting <-3 z scores. Oedema was measured separately.

12. Somalia

a. This survey was conducted in Bardera, Gedo Region in November 1995. It was a cross sectional survey using random, two stage cluster sampling. 908 children 6-59 months old were included in the survey. Wasting was defined as wt/ht <-2 z scores and severe wasting <-3 z scores. Oedema was measured separately.

13. Sudan

a. This information comes from a draft of a nutritional survey conducted by Action Internationale Contre la Faim (AICF) from 20-22 November 1995. It was a two stage cluster sample survey. Wasting was defined as wt/ht <-2 z scores and severe wasting <-3 z scores.

b-f. These surveys were conducted by the Sudanese Relief and Rehabilitation Association between June and September 1995. Wasting was defined as <80% wt/ht.

14. Uganda

a. This survey was conducted by MSF-Hoolland in January 1996. Wasting is defined as wt/ht <-2 sd and/or oedema and severe wasting as <-3 sd and/or oedema.

15. Zaire

a. This survey was carried out by MSF-Belgium from 7-9 November 1995 in Luputa, Zaire. It was a cluster sample survey which included 1099 children 6-59 months old. Wasting was defined as wt/ht <-2 z scores and severe wasting <-3 z scores. Oedema was measured separately.

b. This survey was carried out by MSF-Belgium from 14-17 November 1995 in Gandajika, Zaire. It was a cluster sample survey which included 705 children 6-59 months old. Wasting was defined as wt/ht <-2 z scores and severe wasting <-3 z scores. Oedema was measured separately.

c. This survey was carried out by MSF-Belgium from 5-7 December 1995 in Likasi, Zaire. It was a two stage cluster sample survey which included 797 children 6-59 months old. Wasting was defined as wt/ht <-2 z scores and severe wasting <-3 z scores. No cases of oedema were seen.

d-e. This survey was conducted by MSF-Belgium from 23-26 October 1995 in Mwene Ditu, Zaire. The results are broken out by resident and displaced populations. A total of 1525 children 6-59 months old (or 65-110 cms if age was not known) were included. This was 816 resident children and 710 displaced children. Wasting was defined as wt/ht <-2 sd and/or oedema and severe wasting was <-3 sd and/or oedema.

17. Afghanistan Region

a. This survey was conducted by Action Internationale Contre la Faim (AICF) in Kabul from 28 October - 8 November 1995. This was a two stage cluster sample survey which included 884 children 6-59 months old, or 65-110 cms if age was not known. Wasting was defined as wt/ht <-2 z scores and severe wasting <-3 z scores. Oedema was measured separately. This survey also measured 404 non-pregnant women aged 15-45 years and used a BMI of <18.5 to define wasting.

b. This survey was carried out by MSF-Holland in December 1995. Wasting was defined as wt/ht <-2 sd and/or oedema and severe wasting was <-3 sd and/or oedema.

18. Bhutanese Refugees in Nepal

a. This information comes from a screening exercise on children under five carried out in November 1995. Wasting was defined as wt/ht <80% of the median.

19. Refugees from Rakhine State, Myanmar in Bangladesh

a. This information comes from a UNHCR health and nutrition report for the year 1995. Wasting is defined as wt/ht <-2z scores and severe wasting <-3 z scores in children under five years old.

Annex 2 - Seasonality in Sub-Saharan Africa*

Country

Climate/Rainy Season/Harvest



Angola

Coastal area desert, SW semi-arid, rest of country: rains Sept-April

Burundi

Three crop seasons: Sept-Jan, Feb-Jun, and Jul-Aug

CAR

Rains March-Nov

Djibouti

Arid Climate

Ethiopia

Two rainy seasons February to May and June to October

Kenya

N-E is semi-arid to arid, Central and SW rains: March-May and Nov-Dec

Liberia

Rains March-Nov

Mozambique

Coast is semi-arid, rest wet-dry Harvest May

Rwanda

Rains Feb-May with Aug harvest and Sept-Nov with Jan harvest

Sierra Leone

Rains March-Oct.

Somalia

Two seasons: April to August (harvest) and October to January/February (harvest)

Sudan

Rains April-Oct

Northern

Rains begin May/June

Southern

Rains begin March/April

Togo

Two rainy seasons in S, one in N. Harvest August

Uganda

Rains Mar-Oct

Zaire

Tropical climate. Harvest in N: November; in S January

*SOURCES: FAO, “Food Supply Situation and Crop Prospects in Sub-Saharan Africa”, Special Report; No 4/5, Dec. 90 plus various FAO/WFP Crop and Food Supply Assessment Missions.