Activities

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Nutritional and mortality surveys

When the nutritional situation in a geographic zone deteriorates, Epicentre’s Field Epidemiology Department conducts nutritional and mortality investigations in order to assess the nutritional status and, subsequently, to determine an operational strategy.

 

The Carnot example (Central African Republic)

In 2008, the city of Carnot; located in a diamond-rich area, was affected by a diamond price decrease and a mining code revision. In June-July 2009, an increase in the number of malnutrition cases was observed at the city hospital.

A preliminary assessment by MSF and Action against Hunger showed that, in a representative sample of 231 children, up to 21.6% of children suffered from severe malnutrition.

MSF-F set up a coverage program for severe acute malnutrition (SAM) of children under 5, and asked Epicentre to carry out a retrospective nutritional and mortality survey and a socio-economic assessment of households.

 

The example of Whantoa woreda – rural areas, Mathar, Ethiopia

Whantoa woreda is located in the western part of the Nuer zone, (Gambella region, Southwest Ethiopia). At the end of 2009, in order to reinforce health care services in this region, MSF launched a project on access to health care for the population of Mathar, administrative capital of the Woreda region. Due to several vulnerability factors (food insecurity, displacement of populations, limited access to health care), the outlooks in children’s nutritional and vaccine status and high mortality rate in this population seemed gloomy.