UNHCR_ETH_SENS_2018_v2.1 2019-06-08 Nesstar Publisher Standardized Expanded Nutrition Survey (SENS) in Melkadida Refugee Camps - 2018 ETH SENS 2018 UNHCR_ETH_SENS_2018_v2.1 UNHCR Nesstar Publisher v1.2: edited, anonymised, second version. Nutrition Health and Nutrition Water Sanitation Hygiene Food security Dollo Ado district hosts Somali refugees in five refugee camps of Melkadida; Bokolmanyo, Melkadida, Kobe, Hilaweyn and Buramino. The first camp, Bokolmanyo was opened in Oct 2009 and followed Melkadida in 2010. In 2011, there was a major influx as a result of insecurity in Somalia, resulting in the establishment of Kobe, Hilaweyn, and Buramino camps in June 2011, August 2011 and November 2012 respectively. Refugees continue to arrive in small numbers since 2011. On 31 March 2018 (source: UNHCR ProGres) the total population is 217,494 with 21,010 under-five children. A joint UNHCR, WFP, ARRA, IMC and Humedica Standardized Expanded Nutrition Survey (SENS) was carried out in the five Somali refugee’s camps in Melkadida/Dollo Ado refugee camps from 20th March to 24th April 2018, with the main objective to assess the general health and nutrition status of refugees, and formulate workable recommendations for appropriate nutritional and public health interventions. A total of 1801 households were sampled. Ethiopia Refugee sites of Melkadida. Households, children (0-59 months) women (15-49 years). Households, and women and children within the households, in refugee sites in Melkadida. Sample survey data [ssd] The Ethiopia SENS 2018 includes: - Households: food security, wash. - Women: anemia - Children: anemia, anthropometry, infant and young child feeding (IYCF) UNHCR For this survey, a stratified single stage random sample design was employed, where the different camps are considered the strata. All households were physically labbelled with unique numbers per zone/block in each strata. Empty or abandoned houses were excluded from the sampling frame. The overal sample size is 1801 households. Face-to-face interview: Mobile The questionnaires for the Ethiopia SENS are based on the SENS version 2 with minor modifications. On a household level, the WASH module, Food Security and Mortality modules were included. In addition to a household questionnaire, questionnaires were administered for women aged 15-49 (anemi) and children below 5 years (anemi, IYCF, anthropometry). Sample weights were included at the curation stage, to account for the different sample rates within the camps. The sample weights are the inverse of the probability of selection of the household, where the number of households in the sample is based on the data and the number of households in the population is based on progress data. Raw data was edited lightly, e.g. recoding of non-existing values recoded to missing, deletion of duplicates. Variable and values are labelled in Stata. While effort was done to match the three data files, households, women and children, they do not match perfectly. This can occure for several reasons, e.g. because households do not have women or children in the specified age ranges. The non-matching observations are left in the data - as they are used for analysis in the report. Due to anonymisation the data can differ slightly from the results presented in the report. Curation Team UNHCR (2022). Ethiopia: SENS in Melkadida, 2018. Accessed from: https://microdata.unhcr.org. UNHCR does not warrant in any way the accuracy of the information and data contained in the datasets and shall not be held liable for any loss caused by reliance on the accuracy or reliability thereof. 2018_MLK_CH.NSDstat 2110 52 Nesstar 200801 2018_MLK_FS.NSDstat 1911 45 Nesstar 200801 2018_MLK_WM.NSDstat 1526 8 Nesstar 200801 2110 0 bokolmanyo 466 bura 435 hila 451 kobe 361 melkadida 397 household identification code 2110 0 10002 51022 29243.692 14164.944 sex 2110 0 1 1. male 1045 2 2. female 1065 age in months 2110 0 0.07 59.63 27.775 16.372 CH7: weight in kg 1886 224 4.55 19.1 10.746 2.457 CH8: height in cm 1886 224 60.9 111.3 84.525 10.875 CH9: oedema, y/n 1885 225 1 1. yes 1 2 2. no 1884 Sysmiss 225 CH10: MUAC (mm) 1885 225 95 182 143.431 11.591 WAZ-NCHS 1886 224 -5.699 6.07 -1.747 0.996 HAZ-NCHS 1886 224 -8.916 5.186 -1.469 1.307 WHZ-NCHS 1886 224 -5.956 9.294 -1.065 0.906 WAZ-WHO 1886 224 -6.104 4.269 -1.54 1.075 HAZ-WHO 1886 224 -8.604 10.9 -1.651 1.405 WHZ-WHO 1884 226 -6.66 7.131 -0.901 1.058 BMIZ-WHO 1885 225 -7.336 7.377 -0.709 1.112 WAM-NCHS 1885 225 43.19 164.7 81.473 10.518 HAM-NCHS 1885 225 64.46 118.9 94.267 5.096 WHM-NCHS 1885 225 55.78 175.3 90.625 8.295 Flag-NCHS 274 0 HAZ 36 HAZ, WHZ 4 WAZ 6 WAZ, HAZ 4 WAZ, HAZ, WHZ 223 WAZ, WHZ 1 Flag-WHO 296 0 HAZ 49 HAZ, WHZ 4 WAZ 1 WAZ, HAZ 6 WAZ, HAZ, WHZ 224 WAZ, WHZ 3 WHZ 9 MUACZ_age 1884 226 -5.246 2.065 -0.861 0.903 Height_Age-WHO 2108 2 0.02 62.9 20.834 14.006 MUACZ_Ht 1880 230 -4.432 2.055 -0.57 0.865 CH11: Child enrolled 1887 223 1 1=TFP(SC/OT P) 1127 2 2=TSFP 170 3 3.BFP 17 4 4=None 573 Sysmiss 223 Ch13: measles 1887 223 1 1. Yes, card 1488 2 2. Yes, recall 207 3 3. No, or don't know 192 Sysmiss 223 CH14: Vit. A in past 6 months 1886 224 1 1. Yes, card 1075 2 2. Yes, recall 629 3 3. No, or don't know 182 Sysmiss 224 CH15: Diarrhoea in past 2 weeks 1876 234 1 1. Yes 35 2 2. No 1841 8 8. Don't know 0 Sysmiss 234 CH16: Hb (g/L or g/dL) 1873 237 4.7 14.8 10.891 1.326 ARI 737 0 1 23 2 714 FEVER 737 0 1 23 2 710 999 4 IF4: Has [name] ever been breastfed? 722 1388 1 1. Yes 599 2 2. No 123 8 8. Don't know 0 Sysmiss 1388 IF5: How long after birth did you first put [name] to the breast? 598 1512 1 1. Less than one hour 551 2 2. Between 1 and 23 hours 18 3 3. More than 24 hours 29 8 8. Don't know 0 Sysmiss 1512 IF6: Was [name] breasfed yesterday during the dat or at night? 586 1524 1 1. Yes 492 2 2. No 94 8 8. Don't know 0 Sysmiss 1524 IF7A: During the day or at night, did [name] receive water? 721 1389 1 1. Yes 403 2 2. No 318 8 8. Don't know 0 Sysmiss 1389 IF7B: During the day or at night, did [name] receive 'infant formula' 723 1387 1 1. Yes 196 2 2. No 527 8 8. Don't know 0 Sysmiss 1387 IF7C: During the day or at night, did [name] receive milk? 725 1385 1 1. Yes 330 2 2. No 395 8 8. Don't know 0 Sysmiss 1385 IF7D: During the day or at night, did [name] receive juice? 723 1387 1 1. Yes 86 2 2. No 637 8 8. Don't know 0 Sysmiss 1387 IF7E: During the day or at night, did [name] receive clear broth? 719 1391 1 1. Yes 113 2 2. No 606 8 8. Don't know 0 Sysmiss 1391 IF7F: During the day or at night, did [name] receive yoghurt? 725 1385 1 1. Yes 80 2 2. No 645 8 8. Don't know 0 Sysmiss 1385 IF7G: During the day or at night, did [name] receive thin porridge? 725 1385 1 1. Yes 229 2 2. No 496 8 8. Don't know 0 Sysmiss 1385 IF7H: During the day or at night, did [name] receive tea or coffee with milk? 725 1385 1 1. Yes 314 2 2. No 411 8 8. Don't know 0 Sysmiss 1385 IF7I: During the day or at night, did [name] receive any other water based liqui 723 1387 1 1. Yes 114 2 2. No 609 8 8. Don't know 0 Sysmiss 1387 IF8: Yesterday, during the day or at night, did [name] eat solid or semi-solid f 724 1386 1 1. Yes 234 2 2. No 490 8 8. Don't know 0 Sysmiss 1386 IF9: Did [name] drink anything from a bottle with a nipple yesterday during the 724 1386 1 1. Yes 121 2 2. No 603 8 8. Don't know 0 Sysmiss 1386 IF11A: Yesterday, during the day or at night, did [name] consume flesh food? 540 1570 1 1. Yes 105 2 2. No 435 8 8. Don't know 0 Sysmiss 1570 IF11B: Yesterday, during the day or at night, did [name] consume fbf? 540 1570 1 1. Yes 227 2 2. No 313 8 8. Don't know 0 Sysmiss 1570 IF11C: Yesterday, during the day or at night, did [name] consume fbfsuper? 540 1570 1 1. Yes 393 2 2. No 147 8 8. Don't know 0 Sysmiss 1570 IF11D: Yesterday, during the day or at night, did [name] consume rutf products? 540 1570 1 1. Yes 42 2 2. No 498 8 8. Don't know 0 Sysmiss 1570 IF11E: Yesterday, during the day or at night, did [name] consume rusf products? 540 1570 1 1. Yes 56 2 2. No 484 8 8. Don't know 0 Sysmiss 1570 IF11G: Yesterday(day/night), did [name] consume iron fortified infant formula? 539 1571 1 1. Yes 153 2 2. No 386 8 8. Don't know 0 Sysmiss 1571 IF11H: Yesterday(day/night), did [name] consume any iron fortified foods? 537 1573 1 1. Yes 170 2 2. No 367 8 8. Don't know 0 Sysmiss 1573 Age based on valid age documentation 2110 0 0 0. No 207 1 1. Yes 1903 Camp 1911 0 bokolmanyo 412 bura 380 hila 399 kobe 334 melkadida 386 household identification code 1911 0 10001 50386 29679.367 14285.431 WS1: how many people live in this household and slept here last night? 1512 399 1 155 2 58 3 68 4 81 5 147 6 162 7 192 8 190 9 177 10 131 11 75 12 12 or more 76 Sysmiss 399 Age of household head 1501 410 15 15-17 years 34 18 18-19 years 69 20 20-29 years 354 30 30-39 years 555 40 40-49 years 256 50 50-59 years 147 60 60-69 years 51 70 70+ years 35 Sysmiss 410 Sex of head of household 1501 410 0 1184 1 317 Sysmiss 410 Calculated sample weights based on number of hh as in report, and number of hh i 1911 0 14.65 26.31 20.343 3.59 observation includes information from wash module 1895 16 1 1895 Sysmiss 16 observation includes information from food security module 1911 0 1 1911 FS1: Does your household have a ration card? 1911 0 1 1. Yes 1907 2 2. No 4 FS2: Why do you not have a ration card? 4 1907 1 1. Not given one at registration 1 2 2. Lost card 1 3 3. Traded/sold card 1 4 4. Not registered but eligible 0 5 5. Not eligible (not in targeting criteria) 0 6 6. Other 1 Sysmiss 1907 FS3: Does your household receive full or reduced ration? 1907 4 1 1. Full 1750 2 2. Half 157 6 6. Other 0 Sysmiss 4 FS4: How many days did the food from ration last? 1906 5 1 30 20.587 5.543 FS5: In the last month, has your household borrowed cash, food or other items? 1911 0 1 1. Yes 1085 2 2. No 826 8 8. Don't know 0 FS6: In the last month, has your household sold any assets not normally sold? 1910 1 1 1. Yes 273 2 2. No 1637 8 8. Don't know 0 Sysmiss 1 FS7: Has your household requested increased remittances/gifts (last month)? 1909 2 1 1. Yes 355 2 2. No 1554 8 8. Don't know 0 Sysmiss 2 FS8: Has your household reduced the quantity and or frequency of food? 1908 3 1 1. Yes 755 2 2. No 1153 8 8. Don't know 0 Sysmiss 3 FS9: Has anyone in your household begged (last month)? 1909 2 1 1. Yes 68 2 2. No 1841 8 8. Don't know 0 Sysmiss 2 FS10: Did anyone in your household engage in risky activities (last month)? 1910 1 1 1. Yes 427 2 2. No 1483 8 8. Don't know 0 Sysmiss 1 FS13.1: Yesterday, (day/night) did anyone in your household consume any cereals? 1908 3 0 0. No 0 1 1. Yes 1276 2 18 3 6 4 20 5 5 6 580 7 3 Sysmiss 3 FS13.2: Yesterday, (day/night) did anyone (in hh) consume white roots? 1121 790 0 0. No 326 1 1. Yes 447 2 345 4 1 6 2 Sysmiss 790 FS13.3A: Yesterday, (day/night) did anyone (in hh) eat vitamin rich vegetables? 808 1103 0 0. No 361 1 1. Yes 37 2 393 4 1 6 16 Sysmiss 1103 FS13.3B: Yesterday, (24h) did anyone (in hh) eat dark green leafy vegetables? 793 1118 0 0. No 372 1 1. Yes 26 2 387 3 3 6 5 Sysmiss 1118 FS13.3C: Yesterday, (24h) did anyone (in hh) eat any other vegetables? 847 1064 0 0. No 288 1 1. Yes 222 2 299 3 5 4 19 6 14 Sysmiss 1064 FS13.4A: Yesterday, (24h) did anyone (in hh) consume vitamin rich fruit (juice)? 786 1125 0 0. No 380 1 1. Yes 10 2 396 Sysmiss 1125 FS13.4B: Yesterday, (24h) did anyone (in hh) eat any other fruits? 788 1123 0 0. No 377 1 1. Yes 19 2 392 Sysmiss 1123 FS13.5A: Yesterday, (24h) did anyone (in hh) eat organ meat/blood-based foods? 796 1115 0 0. No 359 1 1. Yes 49 2 386 4 2 Sysmiss 1115 FS13.5B: Yesterday, (24h) did anyone (in hh) eat flesh meat? 802 1109 0 0. No 380 1 1. Yes 25 2 397 Sysmiss 1109 FS13.6: Yesterday, (24h) did anyone (in hh) consume eggs? 781 1130 0 0. No 379 1 1. Yes 5 2 396 6 1 Sysmiss 1130 FS13.7: Yesterday, (24h) did anyone (in hh) consume fish? 781 1130 0 0. No 380 1 1. Yes 2 2 399 Sysmiss 1130 FS13.8: Yesterday, (24h) did anyone (in hh) consume legumes/nuts/seeds? 934 977 0 0. No 366 1 1. Yes 225 2 338 4 2 6 3 Sysmiss 977 FS13.9: Yesterday, (24h) did anyone (in hh) consume milk (products)? 985 926 0 0. No 344 1 1. Yes 324 2 312 3 1 4 2 6 1 7 1 Sysmiss 926 FS13.10: Yesterday, (24h) did anyone (in hh) consume oils/fats? 1429 482 0 0. No 201 1 1. Yes 695 2 214 3 14 4 22 6 283 Sysmiss 482 FS13.11: Yesterday, (24h) did anyone (in hh) consume sweets/soda/sugary foods? 961 950 0 0. No 363 1 1. Yes 274 2 324 Sysmiss 950 FS13.12: Yesterday, (24h) did anyone (in hh) consume spices/condiments/beverages 911 1000 0 0. No 377 1 1. Yes 175 2 358 6 1 Sysmiss 1000 TEA 539 1372 1 242 2 263 3 24 6 10 Sysmiss 1372 WS2: Main source of drinking water for hh_members 1894 17 1 1. Piped water 229 2 2. Public tap/standpipe 1660 3 3. Tubewell/borehol (& pump) 2 4 4. Protected dug well 0 5 5. Protected spring 0 6 6. Rain water collection 1 7 7. UNHCR tanker 0 8 8. Unprotected spring 0 9 9. Unprotected dug well 0 10 10. Small water vendor 1 11 11. Tanker truck 0 12 12. Bottled water 1 13 13. Surface water (e.g. river, pond) 0 96 96. Other 0 98 98. Don't know 0 Sysmiss 17 WS3: Are you satisfied with the water supply? 1894 17 1 1. Yes 1865 2 2. No 12 3 3. Partially 17 8 8. Don't know 0 Sysmiss 17 WS4: What is the main reason you are not satisfied with the water supply? 12 1899 1 1. Not enough 3 2 2. Long waiting queue 2 3 3. Long distance 4 4 4. Irregular supply 2 5 5. Bad taste 0 6 6. Water too warm 1 7 7. Bad quality 0 8 8. Have to pay 0 96 96. Other 0 98 98. Don't know 0 Sysmiss 1899 WS5: What kind of toilet facility does this household use? 1894 17 1 1. Flush to piped sewer system 11 2 2. Flush to septic system 7 3 3. Pour-flush to pit 138 4 4. VIP/simple pit latrine with floor/slab 651 5 5. Composting/dry latrine 1081 6 6. Flush or pour-flush elsewhere 0 7 7. Pit latrine without floor/slab 5 8 8. Service or bucket latrine 0 9 9. Hanging toilet/latrine 0 10 10. No facility, field, bush, plastic bag 1 Sysmiss 17 WS6: How many households share this toilet? 1883 28 0 39 3.571 3.292 WS6: Shared toilet? 1890 21 1 1. Not shared (1hh) 142 2 2. Share family (2hh) 918 3 3. Communal toilet (3 hh or more) 818 4 4. Public toilet (in market or clinic etc.) 0 8 8. Don't know 12 Sysmiss 21 Child in household, y/n 1893 18 0 0. No 798 1 1. Yes 1095 Sysmiss 18 WS8: The last time [youngest child] passed stools, how was it disposed? 1461 450 1 1. Child used toilet/latrine 206 2 2. Put/rinsed into toilet or latrine 1134 3 3. Buried 3 4 4. Thrown into garbage 6 5 5. Put/rinsed into drain or ditch 3 6 6. Left in the open 1 96 96. Other 108 98 98. Don't know 0 Sysmiss 450 Liters of water used per day per person 1895 16 2.5 497 25.664 23.98 WS10: Are the drinking water containers covered or narrow necked? 1894 17 1 1. All are 1147 2 2. Some are 648 3 3. None are 99 Sysmiss 17 Camp 1526 0 bokolmanyo 359 bura 305 hila 315 kobe 252 melkadida 295 household identification code 1526 0 10002 52404 29192.429 14356.417 WM4: Age category 1518 0 15-17 years 140 18-24 years 336 25-29 years 195 30-34 years 368 35-39 years 265 40-44 years 150 45-49 years 64 WM5: Are you pregnant? 1525 1 1 1. Yes 285 2 2. No 1240 8 8. Don't know 0 Sysmiss 1 WM6: Are you currently entolled in the ANC programme? 283 1243 1 1. Yes 280 2 2. No 3 8 8. Don't know 0 Sysmiss 1243 WM7: Are you currently receiving iron-folate pills? 284 1242 1 1. Yes 257 2 2. No 27 8 8. Don't know 0 Sysmiss 1242 WM8: Hb (g/L or g/dL) 1224 302 6 17.5 12.29 1.46 WM9: Women referred for anaemia, yn 4 1522 1 4 Sysmiss 1522