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 in collaboration with its partners, coordinated a SENS survey in Maban County between November 16th and December 4th in 2019. Maban County is in Upper Nile State in the North East of the Republic of South Sudan (RoSS). The refugee caseload is composed of Sudanese fleeing from the conflict in Blue Nile State in Sudan, residing in four refugee camps; Doro, Yusuf Batil, Gendrassa and Kaya. The overall aim of the survey was to assess the nutrition situation among the refugee population and to monitor ongoing programme interventions. In each of the camps a cross- sectional survey was conducted using the UNHCR Standardised Expanded Nutrition Survey (SENS) version 2, 2013 guidelines http://sens.unhcr.org/ and the Standardised Monitoring and Assessments of Relief and Transitions (SMART) guidelines https://smartmethodology.org/ . Systematic random sampling was used to identify the survey respondents. Three population groups; children 6-59 months, infants 0-5 months and women of reproductive age 15-49 years were included in the survey. Household level indicators on food security were measured in households whether they included the target population groups or not. A total of six survey teams composed of four members each (one team leader, one haemoglobin measurer, one anthropometric measurer and one anthropometric/haemoglobin measurement assistant carried out data collection in Doro camp. Data collection in the rest of the three camps (Gendrassa, Kaya and Yusuf Batil) was carried out by ten teams of four members. Two standardised trainings lasting five and four days respectively were conducted for Doro and the rest of the camps. The training included a standardisation and pilot test. The survey teams were supported by a team of 5 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 daily by the survey coordinator/supervisors which allowed for daily feedback to the survey teams. Data analysis is currently on-going using ENA for SMART July 9th, 2015 version for anthropometric indices and Epi info version 7.2.3.1 for all other data.

The UNHCR Standardized Expanded Nutrition Surveys (SENS) were conducted in three refugee camps located in Kigoma region, the western part of Tanzania. There were a total of 207,394 refugees residing in the three camps, where among them 62% are Burundians, 37.9% are Congolese, and a small proportion of refugees from other nationalities (Yemen, Rwanda, Uganda, Sudan, Kenya and others). A total of 45,704 under five children are located in the three camps with 26,756 in Nyarugusu camp. The main objective of the SENS was to assess the general health and nutrition status of refugees and formulate workable recommendations for appropriate nutritional and public health interventions. The survey was conducted using a two-stage cluster sampling. This study is an anonymized version of the collected data.

The UNHCR Standardized Expanded Nutrition Surveys (SENS) were conducted in three refugee camps located in Kigoma region, the western part of Tanzania. There were a total of 207,394 refugees residing in the three camps, where among them 62% are Burundians, 37.9% are Congolese and a small proportion of refugees from other nationalities (Yemen, Rwanda, Uganda, Sudan, Kenya and others). A total of 45,704 under five children are located in the three camps with 26,756 in Nyarugusu camp. The main objective of the SENS was to assess the general health and nutrition status of refugees and formulate workable recommendations for appropriate nutritional and public health interventions. The survey was conducted using a two-stage cluster sampling. This study is an anonymized version of the collected data.

The UNHCR Standardized Expanded Nutrition Surveys (SENS) were conducted in three refugee camps located in Kigoma region, the western part of Tanzania. There were a total of 207,394 refugees residing in the three camps, where among them 62% are Burundians, 37.9% are Congolese and a small proportion of refugees from other nationalities (Yemen, Rwanda, Uganda, Sudan, Kenya and others). A total of 45,704 under five children are located in the three camps with 13,949 in Nduta camp. The main objective of the SENS was to assess the general health and nutrition status of refugees and formulate workable recommendations for appropriate nutritional and public health interventions. The survey was conducted using a two-stage cluster sampling. This study is an anonymized version of the collected data.

The UNHCR Standardized Expanded Nutrition Surveys (SENS) were conducted in three refugee camps located in Kigoma region, the western part of Tanzania. There were a total of 207,394 refugees residing in the three camps, where among them 62% are Burundians, 37.9% are Congolese and a small proportion of refugees from other nationalities (Yemen, Rwanda, Uganda, Sudan, Kenya and others). A total of 45,704 under five children are located in the three camps with 4,999 in Mtendeli camp. The main objective of the SENS was to assess the general health and nutrition status of refugees and formulate workable recommendations for appropriate nutritional and public health interventions. The survey was conducted using a two-stage cluster sampling. This study is an anonymized version of the collected data.

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 in the refugee populations. UNHCR in collaboration with the Ministry of Health and with support from ADES, UNICEF and WFP organized and series of three SENS in the Democratic Republic of Congo in the first half of 2019 focusing on the following locations and population groups: in camps hosting refugees from Burundi (Sud-Kivu province); in camps and among host populations hosting refugees from Central African Republic (Bas-Uélé, Nord-Ubangi and Sud-Ubangi provinces), and in camps and among host populations hosting refugees from South Sudan (Haut-Uélé and Ituri provinces). The survey includes seven modules: household composition, income, consumption and food security, use of mosquito nets, water and sanitation (WASH), children under five, and women of childbearing age. See further details in the three reports. This data is the anonymous version of the original data collected for primary use.

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 in the refugee populations. CHAD hosts approximately 450.000 refugees mainly originating from Sudan, Central African Republic and Nigeria representing about 4% of the total population of the country. This can be explained by the security challenges caused by tensions in neighboring countries and by the macroeconomic situation of the country itself. Additionally, the Covid-19 pandemic has adversely impacted the livelihood of this already vulnerable population due to loss of means of income and reduction of revenues and support. In this context, the 2021 SENS survey was organized by UNHCR and the WFP, in collaboration with Chad Health Ministry. The data collection took place between June 17 and July 22, 2021 and covered 25 camps of Sudanese, Central African and Nigerian refugees in the East, South, and Lake Regions of Chad, including host villages living 25 Kilometers around the camps. A total of 705 clusters of 15320 households were surveyed, including 13087 children between 0 and 59 months of age who were surveyed for Anthropometry. A detailed report of the nutritional situation of the various segments of the population was published in a report which is published together with all the relevant datasets.

Malawi has been hosting refugees and asylum seekers in Dzaleka camp,Dowa district, since 1994. By 2016 the camp reached a population of 25,202 refugees, most of whomlive in the refugee camp (ProGres database). The refugees are mainly from the Great Lakes Regioncomprising of Democratic Republic of Congo (46%), Burundi (25%) and Rwanda (20%). About 8% of theremaining refugees come from Somalia, Ethiopia and other countries. Dzaleka camp is surrounded by12 villages, and UNHCR Malawi mapped 11 villages with a total population of 37,412 for programmingas host communities. In March of 2016, the Government of Malawi opened Luwani Camp, Neno district, to primarily hostasylum seekers from Mozambique. With a growing population, the camp had nearly 2,200 persons ofconcern to UNHCR in 2016. The camp is surrounded by 6 villages with a total population of 4,614households. UNHCR, the World Food Programme (WFP) and partners worked to ensure that food security andrelated needs of the refugees were adequately addressed in the two camps. The Government of Malawihas responsibility for the host communities through national plans, supported by a variety of NGOpartners. In 2016, there was a great need to monitor the nutrition situation of the refugees in the twocamps as well as the host communities serving the two camps in order inform appropriateinterventions. Thus, four Standardised Expanded Nutrition Survey (SENS) were conducted in the twocamps and their host communities from 7 to 8 November 2016. This was the fi rst SENS in Luwani campand the host communities. Previous SENS were conducted in Dzaleka camp in 2008, 2012 and 2014. The SENS was based on the Standardised Monitoring and Assessment of Relief and Transitions(SMART) methodology and UNHCR SENS Guidelines for Refugee Populations (v 2, 2013). A two-stagecluster sampling was conducted in three of the survey areas (Dzaleka camp, two host communities) andan exhaustive method was used in Luwani camp as the total population was below 2,500. See moredetails in the report. The microdata are the anonymized version of the original data, and include a datafi le for the following modules:food security, mosquito net coverage, WASH, children under 5 years old,and women aged 15 to 49 years.

Dzaleka refugee camp in Malawi has been hosting refugees since 1994, mainly from the Great Lakes Region in Central Africa. Since 2002, WFP in accordance with theMemoradum of Understanding between WFP and UNHCR has been providing food rations to therefugees in the camp. To support informing revisions to the food assistance programme, a UNHCRStandardised Expanded Nutrition Survey (SENS) was conducted by UNHCR with the support of WFPbetween 27 June and 5 July 2012. This was the fi rst nutrition assessment since 2008. The SENS was based on the Standardised Monitoring and Assessment of Relief and Transitions(SMART) methodology and UNHCR SENS Guidelines for Refugee Populations (v 1.3, March 2012).Simple random sampling was used to select a target sample of 504 households and 314 children under5 years. A resultant sample size of 422 households and 365 children was achieved. The microdata arethe anonymized version of the original data, and include a data fi le for the following modules:foodsecurity, mosquito net coverage, WASH, children under 5 years old, infants aged 0 to 23 months andwomen aged 15 to 49 years.

Refugees from Sudan started arriving in eastern Chad in 2003 due to the conflict in Darfur. The number of long-term refugees was estimated to be 310,834 people in 2016. The region is mostly desert with few natural resources, in particular land and water. On top of the difficult environment, insecurity has made it a challenge for NGOs and international organizations to provide support to the camps. The refugees in the camps have relied on WFP food assistance since they arrived. In January 2014, the food ration was reduced from the standard 2,100 kcal/day to 800 kcal. As part of nutrition and health monitoring, UNHCR in collaboration with WFP organized a Standardized Expanded Nutrition Survey (SENS) in the camps in order to assess the nutrition and health situation of the refugee populations, and orient and guide decision-making for the following year. The survey took place from 7 December 2016 to 22 January 2017 in the 12 camps hosting refugees from Sudan in the regions of Ouaddai, Wadi Fira, Ennedi East and Sila (situated on the border with Darfur, Sudan). The survey include two modules (children under 5 and women of child-bearing age) and used two-stage cluster sampling. See more details in the report.

UNHCR in collaboration with the Ministry of Public Health through the National Directorate of Nutrition and Food Technology (DNTA) and operational partners including WFP, UNICEF, IRC, ADES, CSSI and IMC organized a Standardized Expanded Nutrition Survey (SENS) in seven camps in the south, south-east and west of Chad in order to assess the nutrition and health situation of the refugee populations. The survey took place from 10 December 2016 to 24 January 2017 in the seven refugee camps hosting refugees from Central African Republic, Nigeria and Niger. The survey include two modules (children under 5 and women of child-bearing age) and used two-stage cluster sampling. See more details in the report.

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 in the refugee populations. UNHCR in collaboration with the Ministry of Health and with technical support from UNICEF, WFP and WHO organized and conducted a SENS in Minawao, Mayo Tsanaga department in the Extreme North of Cameroon in July-August 2016. At the time of the survey, the camp was host to 57,367 refugees (15,389 households) from Nigeria. This was the first of its type since the camp opened in 2013. The survey includes five modules: children under five, food security, mosquito net, water and sanitation (WASH), children under five and women. See further details in the report.

In December 2013 Botswana's Dukwi refugee camp was host to an estimated 3,104 individuals (1,527 households) from 14 countries, mostly Somalia and Namibia. There was an assortment of languages and cultures co-existing in the camp. In December 2013, UNHCR conducted a nutrition survey in the camp with the overall aim to assess the prevalence of malnutrition and to monitor selected indicators of programme performance. The survey was based on the UNHCR Standardised Expanded Nutrition Survey (SENS) guidelines for refugee populations (v1.3) (see www.sens.unhcr.org) and the Standardized Monitoring and Assessment of Relief and Transitions (SMART) methodology (v1). This data is the anonymous version of the data collected for the 2013 survey. See the details on the specific objectives of the survey and survey methods in the report.

In 2015, Mozambique was host to a total of 13,217 refugees. The Maratane refugee camp was the only official settlement for asylum seekers and refugee in Mozambique since 2003, hosting 7,360 refugees (1,784 households). The majority of refugees were from the Great Lakes Region, namely Democratic Republic of the Congo, Rwanda and Burundi. The nutrition study in 2012 found a stable level of acute malnutrition, but persistent high levels of chronic malnutrition amongst children, and anaemia amongst both children and adult women. UNHCR conducted two nutrition surveys in Maratane’s refugee camp between the 25th of April and the 2nd of May 2015, one with a representative sample of the refugee population of the camp and another with the children of refugees who have arrived within the last six months to the camp. This data is the anonymous version of the data collected for the 2015 surveys. See details on the specific objectives of the survey and survey methods in the report.

The Maratane refugee camp was the only official settlement for asylum seekers and refugee in Mozambique since 2003, hosting 6,559 refugees (2,133 households). The majority of refugees were from the Great Lakes Region, namely Democratic Republic of the Congo, Rwanda and Burundi. The previous nutrition survey conducted in October 2010 found a stable level of acute malnutrition, but a high level of both chronic malnutrition amongst children, and anaemia amongst both children and adult women. UNHCR, in partnership with the Ministry of Health and WFP, conducted a nutrition survey in Maratane refugee camp between 22 and 30 September 2012. This data is the anonymous version of the data collected for the 2012 survey. See details on the specific objectives of the survey and survey methods in the report.

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 in the refugee populations. UNHCR in collaboration with the Ministry of Health and with technical support from UNICEF, WFP and WHO organized and conducted a SENS of refugees from Central African Republic in the Est, Adamaoua and Nord regions of Cameroon in August and September 2016. More than 70% of refugees from Central African Republic were living outside of camps, an estimated 185,550 people at the time of the survey. The survey includes five modules: children under five, food security, mosquito net, water and sanitation (WASH) and women, children under five and women. See further details in the report.

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 in the refugee populations. UNHCR in collaboration with WFP and UNICEF and its project partners, Ministry of Community Development Mother and Child Health, MOH and MHA/COR, organized and conducted the nutrition survey in the two refugee settlements of Meheba and Mayukwayukwa refugee settlements in December 2013, where supplementary feeding programmes were implemented with the aim to prevent and reduce acute malnutrition among moderate malnourished children below 5 years and pregnant and lactating women. This was the second SENS in these two settlements, previous one conducted in 2009. The main objective of the SENS was to determine the overall health and nutrition status, to determine anaemia and mortality rates in order to establish programme strategies and activities to sustainably improve the refugee livelihoods, nutritional and health status. The survey includes three household-level modules (food security, mosquito net and water and sanitation (WASH)) and three individual-level modules (infants, children under five and women). Systematic random sampling was used in both settlements, and the sample size was calculated based on the highest global acute malnutrition (GAM) prevalence rate (8.4%). See further details in the report.

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 in the refugee populations. UNHCR in collaboration with WFP and UNICEF and its project partners, Ministry of Community Development Mother and Child Health, MOH and MHA/COR, organized and conducted the nutrition survey in the two refugee settlements of Meheba and Mayukwayukwa refugee settlements from 26 November to 15 December 2017. This was the third SENS in these two settlements, previous ones conducted in 2009 and 2013. The main objective of the SENS was to determine the overall nutrition and health status of the refugee population and establish workable recommendations for appropriate interventions. The survey includes one household-level modules and three individual-level modules (infants, children under five and women). See further details in the report.

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. The refugee complex of Dadaab is home to an estimate of 208,000 registered refugees of which the vast majority are Somalis who fled conflict and drought in their home country several decades ago. The Dadaab refugee complex is situated in northeastern Kenya, near the border with Somalia. Dadaab was established in the year 1991 following the beginning of the civil war in Somalia. Somalis were forced to flee as the war worsened, leaving to neighbouring countries including Kenya, Ethiopia and Sudan. Today, Dadaab is home to refugees from many countries in eastern and central Africa, including South Sudan, Burundi, Congo, Ethiopia, Eritrea and Somalia. Somali refugees make up more than 90% of the population. Until early 2017, it consisted of five refugee camps. However, one of the camps, Kambioos, which was also the newest, was closed in March 2017 as refugees began returning to Somalia and the few remaining moved into the other camps. Ifo 2 camp was closed in May 2018 in line with the cam consolidation approach, with refugees either moving to the other camps or being repatriated voluntarily. Refugees live in mud-walled houses with iron sheeting roofs, while some, especially new arrivals, live in tents. The Standardised Expanded Nutrition Survey (SENS) was conducted in the 4 Dadaab refugee camps (Dagahaley, Ifo, Ifo 2 and Hagadera) between 28 August and 23 September 2017 by nutrition partners (MSF-Switzerland, Islamic Relief Kenya, International Rescue Committee and Kenya Red Cross) with overall coordination by UNHCR supported by WFP. After the increase in the prevalence of GAM observed in 2016 (10.2% weighted prevalence of GAM in all camps from 8.1% in 2015), the 2017 SENS indicated weigthed prevalence of GAM 9.7% which is close to what it was in 2016. The difference between the weighted prevalence of GAM in all the camps in 2016 and 2017 is not statistically significant. However, its to be mentioned that the prevalence of GAM in Dagahaley, Hagdera, and Ifo 2 camp is 8.3%, 8.6%, and 9.4% which is classified as POOR nutrition sitation, while in Ifo camp its 12.7% classified as SERIOUS nutrition sitaition as per the WHO classiciation of the public health significance. Overall, weighted anaemia prevalence showed a sharp increase among children aged 6-59 months to 60.7%, up from 49.7% in 2016. This is well above the 40% of public health significance (critical threshold) and requires attention. In all camps, anaemia was well above the 40% of public health significance (critical threshold). The children 6-23 age group had the highest prevalence of anaemia; however, the prevalence in the children 24-35 age group was also very concerning as it was above the critical threshold in all camps.

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. The refugee complex of Dadaab is home to an estimate of 208,000 registered refugees of which the vast majority are Somalis who fled conflict and drought in their home country several decades ago. The Dadaab refugee complex is situated in northeastern Kenya, near the border with Somalia. Dadaab was established in the year 1991 following the beginning of the civil war in Somalia. Somalis were forced to flee as the war worsened, leaving to neighbouring countries including Kenya, Ethiopia and Sudan. Today, Dadaab is home to refugees from many countries in eastern and central Africa, including South Sudan, Burundi, Congo, Ethiopia, Eritrea and Somalia. Somali refugees make up more than 90% of the population. Until early 2017, it consisted of five refugee camps. However, one of the camps, Kambioos, which was also the newest, was closed in March 2017 as refugees began returning to Somalia and the few remaining moved into the other camps. Ifo 2 camp was closed in May 2018 in line with the cam consolidation approach, with refugees either moving to the other camps or being repatriated voluntarily. Refugees live in mud-walled houses with iron sheeting roofs, while some, especially new arrivals, live in tents. The Standardised Expanded Nutrition Survey (SENS) was conducted between 20 August and 8 September 2018 in the 3 Dadaab refugee camps (Dagahaley, Ifo and Hagadera) to assess the magnitude and severity of malnutrition, assess trends by comparison with previous years and support programmatic decisions. The weighted prevalence of global acutemalnutrition, the most important indicator, was 8.0% overall, falling within the POOR category (5-9%). However, there was a marked improvement from 9.7% in 2017. Only Ifo camp was within the SERIOUS category (10-14%). The high prevalence of anaemia remains a major concern, as shown by the anaemia prevalence among children which remained above the 40% critical threshold, despite having decreased. Anaemia prevalence among non-pregnant women jumped to 48.9% overall, from 43.6% in 2017 and was above the 40% threshold for all camps. Some improvement was recorded in terms of infant and young chid feeding indicators, although there is still room for improvement. The access to safe drinking water also continued to be satisfactory, while gaps were still observed in terms of sanitation. The duration of the food ration and dietary diversity basically reflect what has been observed in recent surveys.

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

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. Gorom Refugee camp is located 24 km from Juba city. It has an estimated refugee population of 23471 who are mainly of Ethiopian nationality. The Anyuak refugees from Ethiopia have been in Gorom settlement since 2011. UNHCR and ACROSS carried out the nutrition survey in Gorom refugee camp from 16 to 20 September 2019. 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. UNHCR population figures from ProGres were used to determine the total population and that of children 6-59 months for survey planning purposes. At the end of August 2019, the Gorom refugee population was 2347 individuals. 395 (16.8%) of these were children under five years. An exhaustive survey was conducted in relation to children as the total population size of Gorom camp was below 2,500 people rendering sampling unnecessary following UNHCR SENS guideline. All children aged 6-59 months in the camp were surveyed. 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 standardized training lasting five days, which included a standardization test was provided. Data collection lasted five days. The survey teams were supported by a team of 2 supervisors and 1 coordinator who roved between the teams duration the data collection. Mobile phone questionnaires using Open Data Kit (ODK) android software was used for data collection for all the modules. Data validation was carried out daily by the survey coordinator, which allowed for daily feedback to the survey teams. Data analysis was carried out using ENA for SMART July 9th, 2015 version for anthropometric indices and Epi info version 7 for all the other data.

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 in collaboration with AHA, IRC and WFP carried out the nutrition survey in Pamir and Ajoung Thok refugee camps from 21 to 31 October 2019. Pamir and Ajoung Thok are the official refugee camps in Pariang County, Unity State. No nutrition survey was carried out in Yida as comprehensive services were not provided in 2019 considering its exit strategy. Refugees from Yida continue to be relocated to Pamir and Ajoung Thok refugee camps. The overall aim of the survey was to assess the nutrition situation among the refugee population and to monitor ongoing programme interventions. In each of the camps a cross- sectional survey was conducted using the UNHCR Standardised Expanded Nutrition Survey (SENS) version 2, 2013 guidelines (http://sens.unhcr.org/) and the Standardised Monitoring and Assessments of Relief and Transitions (SMART) guidelines (https://smartmethodology.org/). Systematic random sampling was used to identify the survey respondents. The surveys had a total of 4 modules consisting of 3 individual level and 1 household level questionnaires following UNHCR SENS guidelines version 2, 2013. The modules included: 1. Anthropometry and health targeting all children aged 6 to 59 months in all the sampled households; 2. Anaemia targeting all children aged 6 to 59 months in all the sampled households and all non-pregnant women aged 15 to 49 years in every other sampled household, 3. Infant and Young Child Feeding (IYCF) targeting all children aged 0 to 23 months in all the sampled households; 4. Food security targeting every other sampled household. The Water, Sanitation, and Hygiene (WASH) and mosquito net coverage modules were not carried out. This is because there is a WASH monitoring system in place and WASH Knowledge Attitude and Practices (KAP) assessment was conducted within the same month as the nutrition survey. Information on mosquito net coverage was carried out within the year in Pamir and Ajoung Thok in a separate partner assessment. The Emergency Nutrition Assessment (ENA) software version July 9th, 2015 was used to calculate the sample sizes of children and households for participating in the survey. A total of six survey teams composed of four members each (one team leader, one hemoglobin measurer, one anthropometric measurer/translator and one hemoglobin/anthropometric measurement assistant) were included in each survey. A standardized training lasting five days, which included a standardization test was provided. Data collection lasted eight days from 21-31 October with a two days break on the 26 and 27 October 2019. The survey teams were supported by a team of 5 supervisors and 3 coordinators who roved between the teams during the data collection. Mobile phone questionnaires using Open Data Kit (ODK) android software was used for data collection for the four modules of SENS. Data validation was carried out daily by the survey coordinator and supervisors. This facilitated daily feedback to the survey teams. Data analysis used ENA for SMART July 9th, 2015 version for anthropometricindices and Epi info version 7 for the rest of the indicators.

The UNHCR Standardized Expanded Nutrition Surveys (SENS) provide regular nutrition data that play a key role in delivering effective and timely interventions to ensure good nutritional outcomes among populations affected by forced displacement. This survey was conducted in October 2018 in Beldangi and Sanischare Refugee Camps Nepal to measure the nutrition status of Bhutanese refugees, located in Province 1, Jhapa and Morang Districts. At the time of the survey, there were 6,656 refugees living in both camps, following a large resettlement programme in previous years. UNHCR and partners work in consultation with the local government to increase refugees’ access to nearby government health facilities to achieve sustainable and adequate health services for both refugees and local communities. The nutrition programme was discontinued from the camps in 2016 considering the camp stability, population reduction and improved nutrition status. The main objective of the nutrition survey was to assess the prevalence of malnutrition and anaemia in children aged 6-59 months and anaemia prevalence in non-pregnant women 15-49 years old and formulate workable recommendations for appropriate nutritional and public health interventions. Additional data was collected on coverage of vitamin A supplementation, deworming, supplementary feeding programme, antenatal care program and Infant and young child feeding (IYCF) practicesin the camps.

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 conducted an annual SENS nutrition surveys in Kakuma refugee camp and Kalobeyei Refugee Settlement. The 2017 annual Standardised Expanded Nutrition Survey (SENS) at the Kakuma Refugee Camps was conducted from 22nd November to 3rd December 2017. It was coordinated by the United Nations High Commission for Refugees (UNHCR) with support from World Food Programme (WFP), International Rescue Committee (IRC) and Kenya Red Cross (KRC). The survey used SMART methodology and UNHCR SENS guidelines version 2 (2013) for implementation. While previous surveys indicated a steady decline in GAM prevalence between April 2010 and November 2014. There was a considerable increase in GAM prevalence in Kakuma from November 2015 and 2016. Though the difference was not statistically significant. However, in 2017 there has been a significant reduction in GAM prevalence in both Kakuma and Kalobeyei. There has also been a significant change in stunting for Kalobeyei, the same reduction was observed for Kakuma where stunting prevalence has reduced to below the 40% threshold of public health significance. Anaemia in children 6-59 months remains above the 40% threshold of public health significance for both survey areas but anaemia in women, 15-59 years was below 40%. A slight increase was observed in Kakuma while a reduction was observed in Kalobeyei. The November 2017 survey also shows an improvement in Vitamin A supplementation coverage, and water availability. Mosquito net ownership reduced for Kakuma and increased slightly in Kalobeyei. Mosquito net coverage for Kalobeyei remains far below the recommended 80% UNHCR target.