![]() | Refugee Nutrition Information System (RNIS), No. 14 - Report on the Nutrition Situation of Refugees and Displaced Populations (UNSSCN, 1996, 45 p.) |
![]() | ![]() | List of Tables, Figures and Annexes |
|
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).
|
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).
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.
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.