South Sudan - Standardized Expanded Nutrition Survey (SENS), Jamjang Refugee Camps - 2019

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.