4/17/2020 PAGE0101

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Nutrition Surveillance System Bulletin ,From , To

100%

GovEn

All

DistrictEn

All

Nutrition Surveillance System Monthly Bulletin - Syria  Early Warning Alert and Response Network

The cases classified as follow :

Lactating Normal Pregnant Normal Lactating Malnorished

Pregnant Malnorished

1868 1128 79 60

With great appreciation to our Partneres

ACU Ameen

BAHAR

IDA

PAC

QRCS sdi Shore HM

SRD

Month Code

202002

Partner

All

2020-02-292020-02-01

Pregnant and lactating women MUAC Screening continued in health facilities in Governorates. PLW were screened clssified as follow : 19 2 3135

Sex Distribution

52%

48%

<2

≥2

Nutritional StatusGAM rate by governerate

0%

2%

Aleppo Idleb (Blank)

2.19% 1.82%

Screened by Governerate

0K

5K

Aleppo Idleb (Blank)

7871

3572

Edema cases

0   

MAMN 

% 

NormalN 

% 

SAMN 

% 

  160 1.40% 11207 97.93% 77 0.67%

Gov

Screened

 AleppoIdleb

178713572

Total 11444

During the reporting period( / , ) of the Reporting HFs across ( ) Governorates provided surveillance data for NSS , of reporting health facilities reported on time.32220 100%

The NSS Reporting HFs continue to upload malnutrition indicators’ data on tablets in all the centers in Governorate ( Districts), using ODK application.3 922

The total number of detected malnourished cases is ( ) out of ( ) , While , ( ) of the measured children were under 2 years old.237 11444 5938 52%

Total Screened Childre (6 To 59 Month),n = 9293 , based on MUAC Results : GAM rate was(191) 2.1 %(1.8 - 2.4 95% C.I.)

Based on weight for height GAM Rate : (98) 1.1 %(0.9 - 1.3 95% C.I.),Boys (79) 0.9 %(0.7 - 1.1 95% C.I.) ,Girls (19) 0.2 %(0.1 - 0.3 95% C.I.), according to the cutoff points of the WHO standards.

4/17/2020 Sumurry

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Normal 98%

MAM 1%

Normal MAM SAM

Male 51%

49%Female

Child_Sex Male Female

Children ِU5 age distribution

<2

≥2

51.89%

48.11%

Nutrition Assessment Results

0

10

20

30

40

50

0

500

1000

1500

2000

2500

(Blank) Afrin Al Bab A'zaz Harim Idleb Jarablus Jebel Saman Jisr-Ash-Shugur1

1135

2322

1876

385

1073

1738

1550

1364

808

228173201

394486

616

229

MAM SAM PLW malnourished Children Screened PLW Screened

Nutrition Surveillance System Bulletin ,From , To 2020-02-292020-02-01

26.7%Stunting

(25.8 - 27.6 95% C.I.)11444Children Screened

77SAM

160MAM

2.07%GAM Rate

MUAC 2.1 %(1.8 - 2.4 95% C.I.) Weight for height 1.1 %(0.9 - 1.3 95% C.I.)

22Health Facilty

4.43%PLW GAM Rate

3135PLW Screened

139PLW Malnourished

0Oedema

4/17/2020 CH GAM

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GAM rate by subdistrict GAM rate by district

MAM SAM

GAM rate by district

0%

1%

2%

3%

(Blank) Afrin Al Bab A'zaz Harim Idleb Jarablus Jebel Saman Jisr-Ash-Shugur

2.20% 2.26%1.84%

2.05%

1.40%

2.77%

0.52%

1.94%

2.07%GAM rate

MAM

160

Normal

11207

SAM

77

Nutrition Surveillance System Bulletin ,From , To

GAM Rate by SubDistrict GAM rate by community AR EN

160 (1%)

11207 (98%)

77 (1%)

MAM Normal SAM

2020-02-292020-02-01

4/17/2020 CH GAM-IDP

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GAM Rate Trends Analysis by district (Children Under 5)Month

District Gov Idp Status Malnutrition Cases Screened GAM RATE

202002202002202002202002202002202002202002202002202002202002202002202002202002202002202002202002202002

 AfrinAfrinAl BabAl BabA'zazA'zazHarimHarimIdlebIdlebJarablusJarablusJebel SamanJebel SamanJisr-Ash-ShugurJisr-Ash-Shugur

 AleppoAleppoAleppoAleppoAleppoAleppoIdlebIdlebIdlebIdlebAleppoAleppoAleppoAleppoIdlebIdleb

IDPIDPResidentIDPResidentIDPResidentIDPResidentIDPResidentIDPResidentIDPResidentIDPResident

0456

269

320

22687

302220

148

12106216762788

1464274

1012352526547

1180696264121825310

0.00%2.14%2.78%3.41%1.14%2.19%0.00%2.17%1.70%1.52%1.28%2.54%3.16%0.76%0.00%1.70%2.58%

Total       237 11444 2.07%

ENARGAMRATE and Screened by DistrictEn and IdpStatus

0%

1%

2%

3%

4%

Jarablus Al Bab Afrin Harim Jisr-Ash-Shugur A'zaz Idleb Jebel Saman (Blank)

IdpStatus IDP Resident

Normal, MAM and SAM by Go…

0K

2K

4K

6K

8K

Aleppo Idleb (Blank)

7699

3507

Normal MAM SAM

Normal, MAM and SAM by DistrictEn

0

500

1000

1500

2000

2500

(Blank)Afrin

Al BabA'zaz

Harim IdlebJarablus

Jebel Saman

Jisr-Ash-Shugur

2271

1515

1706

1336

1058

1824

383

1113

Normal MAM SAM

Normal, MAM and SAM by IdpSt…

0K

2K

4K

6K

8K

10K

IDP

Resident

7961

3246

Normal MAM SAM

4/17/2020 CH GAM By Year

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GAM Rate Trends Analysis by Year (Children Under 5)

2%

4%

6%

8%

01_January 02_February 03_March 04_April 05_May 06_June 07_July 08_August 09_September 10_October 11_November 12_December

Year 2017 2018 2019 2020

GAM Rate Trends Analysis by Gov / Month / Year (Children Under 5) :

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

201707 201708 201709 201710 201711 201712 201801 201802 201803 201804 201805 201806 201807 201808 201809 201810 201811 201812 201901 201902 201903 201904 201905 201911 201912 202001 202002 202003

Gov En (Blank) Aleppo Ar-Raqqa Dar'a Hama Homs Idleb Quneitra Rural Damascus

ENAR

4/17/2020 Trends

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GAM Rate Trends Analysis by district (Children Under 5) : Aleppo, Ar-Raqqa

0%

5%

10%

15%

20%

201707 201708 201709 201710 201711 201712 201801 201802 201803 201804 201805 201806 201807 201808 201809 201810 201811 201812 201901 201902 201903 201904 201905 201911 201912 202001 202002 202003

DistrictEn Afrin Al Bab Ar-Raqqa Ath-Thawrah A'zaz Jarablus Jebel Saman Menbij Tell Abiad

GAM Rate Trends Analysis by district (Children Under 5) : Idleb, Hama

0%

2%

4%

6%

8%

10%

201707 201708 201709 201710 201711 201712 201801 201802 201803 201804 201805 201806 201807 201808 201809 201810 201811 201812 201901 201902 201903 201904 201905 201911 201912 202001 202002 202003

District Al Ma'ra Ariha As-Salamiyeh As-Suqaylabiyah Hama Harim Idleb Jisr-Ash-Shugur Muhradah

ENAR

4/17/2020 PLW

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AR EN

4.43%PLW Malnutrition rate

1868 (96%)

79 (4%)

Lactating_Normal

Lactating_Malnorished1128 (95%)

60 (5%)

Pregnant_Normal

Pregnant_Malnorished

1188 (38%)

1947 (62%)

Pregnant Screened

Lactating Screened

PLW Malnutrition rate by districtPLW Malnutrition rate by subdistrict

PLW Malnutrition rate by district

0%

2%

4%

6%

8%

Afrin Al Bab A'zaz Harim Idleb Jarablus Jebel Saman Jisr-Ash-Shugur

5.69% 5.84%

1.23%

7.42%

3.48%

5.84%

1.16% 0.88%

Nutrition Assessment Results - (Pregnant and Lactating Women)

3135PLW Screened

Nutrition Surveillance System Bulletin ,From , To

60Pregnant Malnorished

79Lactating Malnorished

19Health Facilty

4/17/2020 PLW GAM-IDP

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PLW TotalIDP Status Gov PLW Normal PLW malnourished PLW Screened PLW GAM Rate

IDPIDPResidentResident

AleppoIdlebAleppoIdleb

1748452616180

84152911

1832467645191

4.59%3.21%4.50%5.76%

Total   2996 139 3135 4.43%

ENARPLW GAM Rate by Dist and IDP Status

0%

5%

10%

Afrin Al Bab A'zaz Harim Idleb Jarablus Jebel Saman Jisr-Ash-Shugur

IdpStatus IDP Resident

PLW Normal and PLW malnour…

0

500

1000

1500

2000

2500

AleppoIdleb

2364

632

PLW Normal PLW malnouris…

PLW Normal and PLW malnourished by District En

0

200

400

600

800

1000

AfrinAl Bab

A'zazHarim Idleb

Jarablus

Jebel Saman

Jisr-Ash-Shugur

762

580

480

212 194

371

171226

PLW Normal PLW malnourished

PLW Normal and PLW malnouris…

0

500

1000

1500

2000

2500

IDP

Resident

2200

796

PLW Normal PLW malnourished

4/17/2020 PLW GAM-By Year

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PLW GAM Rate by Month Number and Year

4%

6%

8%

10%

12%

01_January 02_February 03_March 04_April 05_May 06_June 07_July 08_August 09_September 10_October 11_November 12_December

5.10%

4.20%

5.26%

3.05%3.91% 4.04%

4.39%4.15%

5.71%5.28%

12.68%

5.27%

7.17%6.61% 6.55%

3.39%

5.94%

4.33%

4.43%

Year 2018 2019 2020

MonthCode

PLW GAM Rate PLW Screened PLW malnourished

201805201806201807201808201809201810201811201812201901201902201903201904201905201911201912202001

5.10%3.91%4.39%4.04%5.26%4.15%3.05%4.20%5.71%6.61%7.17%5.27%

12.68%6.55%5.28%3.39%

94765547

120629407

12039146831193513062132859760

161971846811409471738242096

483217530380633609364549758645

1162973

144730920271

Total 5.52% 174812 9647

PLW GAM Rate by Gov En

0%

5%

10%

15%

20%

Quneitra Idleb Hama Dar'a Ar-Raqqa Aleppo

0.24%

4.63% 4.36%

6.50%

18.14%

5.27%

4/17/2020 program Life

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Total screened by governerate

Aleppo 390817

Idleb 327191

Ar-Raqqa 80792

Dar'a 67011

Homs 20323

GAM rate by district during programme lifeprogramme Life

Reporting H.F , Timeliness and completeness by month

0.0

0.5

1.0

0

100

2017-07-31

2017-08-31

2017-09-30

2017-10-31

2017-11-30

2017-12-31

2018-01-31

2018-02-28

2018-03-31

2018-04-30

2018-05-31

2018-06-30

2018-07-31

2018-08-31

2018-09-30

2018-10-31

2018-11-30

2018-12-31

2019-01-31

2019-02-28

2019-03-31

2019-04-30

2019-05-31

2019-10-31

2019-11-30

2019-12-31

2020-01-31

2020-02-29

2020-03-31

39

20

132

19

76

107

83

81 81

105

84

98

20

9588

82

101

20

82

104

81

111

20

97

102

82130

20

82

Completeness% Timeliness% Reporting H.F.

Children GAM rate by governerate during programme life

0%

2%

4%

6%

8%

Dar'a Homs Hama Idleb Quneitra Aleppo RuralDamascus

Ar-Raqqa

1.58% 2.17% 2.62% 2.70% 2.74% 3.18%

6.58%7.32%

Children screened by year

227138

451110

199202

28393Year

2017

2018

2019

2020

ENAR

905843

PLW screened by year

8821177660

7981Year

2018

2019

2020

173852

4/17/2020 12-under 6m

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% Why NotBreastfed

0%

20%

40%

60%

80%

100%

No

18.37%

36.73%

7.14%

8.16%

12.24%

9.18%

Breast_milk_doesn't_exist

Breast_milk_quantity_is_not_sufficient

Mother/baby_injured_so_not_able_to_breastfeed

Mother_dead

Mother_had_problems_breastfeeding_so_stopped

Mother_never_breastfed

other_reasons

Prefers_to_use_infant_formula_or_baby_milk

Chıldren under 6 month Screened

1376Nutrition Assessment Results - (Children Under 6 Month)

Child Exlusive Breast Feed

940 (68%)

436 (32%)

Exlusive Breast Feed

Non Exlusive

Breastfed

Yes 1278 (93%)

No 98 (7%)

Sex Distribution

Male 713 (52%)

663 (48%)Female

2020-02-292020-02-01Nutrition Surveillance System Bulletin ,From , To

ENAR

4/17/2020 13-6 to 23 m-01

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Chıldren 6 month to 23 Screened

4562Nutrition Assessment Results - (Child 6 to 23 Month )

2020-02-29Nutrition Surveillance System Bulletin ,From , To2020-02-01

Others ( Milk Goats , Etc ..)

No 3256 (71%)

Yes 1306 (29%)

Breastfed

Yes 3078 (67%)

No 1484 (33%)

Sex Distribution

2298 (50%)

2264 (50%)

Male

Female

Child have mother or father

0%

20%

40%

60%

80%

100%

Father Mother Bothe

0.31%5.33%

94.37%

42.85% 47.22%

4/17/2020 14-Stunting

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Nutrition Assessment Results - (Stunting and Under Weight ) Children Screened

10068stunting By Sex

0%

10%

20%

30%

Total Girls Boys

26.7%24.2%

29.1%

Des Total Girls Boys

Underweight by Sex

0%

2%

4%

6%

Total Girls Boys

6.3% 6.1%6.6%

Des Total Girls Boys

stunting by age

0%

10%

20%

30%

06-17 18-29 30-41 42-53 54-59

23.8%

32.3% 30.4%25.5%

18.2%

Age 06-17 18-29 30-41 42-53 54-59

Underweight by age

0%

2%

4%

6%

8%

06-17 18-29 30-41 42-53 54-59

7.5%6.4%

5.4% 5.4% 5.5%

Age 06-17 18-29 30-41 42-53 54-59

2020-02-29Nutrition Surveillance System Bulletin ,From , To2020-02-01

26.7%Stunting

(25.8 - 27.6 95% C.I.)confidence interval

4/17/2020 6 to 23 m-02

1/1

Children 6 month to 23 Screened

4562

Nutrition Assessment Results - (Child 6 to 23 Month ) Nutritional status by district (Children6-23 month)

Nutrition Surveillance System Bulletin ,From , To 2020-02-292020-02-01

Immunization

Yes 99%

No 1%

% of children Dissability

No 99%

Yes 1%

Child 6-23 m defecate frequency during last 24 Hours

0K

1K

2K

3K

4K

0 2 4 6 8 10

824

37823240

1208610

DirehRevised 0 1 2 3 4 5 6 7 8 9 10

Child 6-23 m Tempreture frequency during last month

0

500

1000

1500

2000

2500

0 2 4 6 8 10

1167

23041992

1220870

606420 272

TempretureRevised 0 1 2 3 4 5 6 7 8 9 10