The UNHCR Standardized Expanded Nutrition Surveys (SENS) provide regular nutrition data that plays a key role in delivering effective and timely interventions to ensure good nutritional outcomes among populations affected by forced displacement.
UNHCR and WVI carried out a nutrition survey in Makpandu from 7 to 10 October 2019. Makpandu refugee settlement has an estimated refugee population of 50382 who are mainly from DRC and CAR, and a few from Sudan and Eritrea.
The overall aim of this survey was to assess the general nutrition and health status of refugee population and formulate workable recommendations for appropriate nutritional and public health interventions. The survey was based on the UNHCR Standardized Expanded Nutrition Survey (SENS) guidelines for refugee populations (version 2, 2013) http://sens.unhcr.org/.
Four SENS modules including i. anthropometric and health, ii. Anaemia, iii. IYCF, and iv. Food Security were carried out.
2019 was the first-time modules ii, iii and iv were carried out thus the data from these modules will be used as the baseline.
A total of six survey teams composed of four members each (one team leader, one haemoglobin measurer, one anthropometric measurer/translator and one anthropometric/haemoglobin measurement assistant) were included in each survey. A standardised training lasting four days was provided followed which included a standardisation test. Data collection lasted four days.
The survey teams were supported by a team of 2 supervisors and 2 coordinators who roved between the teams during the data collection. Mobile phone questionnaires using Open Data Kit (ODK) android software for all the modules was used for data collection. Data validation was carried out on a daily by the survey coordinator which allowed for daily feedback to the survey teams
Kind of Data
Sample survey data [ssd]
Unit of Analysis
Children 0-23 months
Children 6-59 months
Women 15-49 years
- v2.1: Edited, anonymous dataset for licensed distribution.
- Children 0-23 months: feeding practices
- Children 6-59 months: prevalence of acute malnutrition, underweight, stunting and anaemia, coverage of vit A supplementation, and prevalence of diarrhoea
- Women 15-49 years: prevalence of anaemia
- Households: food security
Health and Nutrition
Makpandu settlement, Yambio
Children 0-59 months
Women 15-49 years
Producers and sponsors
World Vision International
A cross-sectional survey was conducted using simple random sampling. Households were physically labelled with unique numbers per block. To reduce non-response rate and ensure results were representative of people living in the settlement at the time of the survey, empty households, as verified through neighbours were not be labelled and thus not be included in the sampling frame. A random household sample was drawn from the actual number of physically verified household before the survey
All the eligible household members were included in the survey; that is all children 6 to 59 months / (0-23 months for IYCF) and women 15 to 49 years in a sampled household. The interview was conducted in most cases with the mother in the household or in her absence with an adult member of the household who was knowledgeable with the everyday running of the household. The survey defined a household as the number of people who regularly stay together and eat from the same pot. 266 of the listed households of the 529 listed were surveyed. Each team was allocated a number of households. Block locations and boundaries was discussed during the training to ensure all teams knew where to go.
If a child was absent, the teams were instructed to revisit the household one more time. If they were unsuccessful after this, the child was recorded as absent and they were not replaced with another child. If the household refused to participate then it was considered a refusal and the household was not replaced with another. If a selected child was living with a disability or a physical deformity preventing certain anthropometric measurements the child was still included in the assessment of the other indicators. If it was determined that a selected household did not have any eligible children, the questionnaire was not administered, and the team moved to the next household.
Dates of Data Collection
Data Collection Mode
Face-to-face interview: Mobile
Data Collection Notes
A household was defined as: a group of people who live together and routinely eat out of the
same pot. Where two families share the same pot, they were assessed as one household even if
they lived in the same compound.
Children 6-59 months- This included questions and measurements of children aged 6-59 months. Information was collected on anthropometric status, oedema, and enrolment in selective feeding programmes, immunisation (measles), vitamin A supplementation and morbidity from diarrhoea in past two weeks before the survey and haemoglobin status.
Infant 0-23 months- This included question on infant and young child feeding for children aged 0- 23 months.
Women 15-49 years- This included questions and measurements of women aged 15 - 49 years. Information was collected on women's pregnancy status, coverage of iron-folic acid pills and ANC attendance for pregnant women, and haemoglobin status for non-pregnant women.
Food Security- This included questions on access and use of the GFD ration, negative coping mechanisms used by household members and household dietary diversity.
UNHCR (2021). South Sudan: SENS in Makpandu Refugee Camps 2019. Accessed from https://microdata.unhcr.org