Terms of Reference SMART Survey for Action Against Hunger’s Intervention at Action Against Hunger | ACF-International

Project and Study Summary Table
Reference of the Assessment PD-ABU-01359-001
Project Name Smart Nutrition and Mortality Survey
Sector Nutrition, Food Security and Livelihood
Implementing Partners (if applicable) International Rescue Committee, Society for Family Health

1. Project Background
1.1. Rationale for the Project
Action Against Hunger (AAH) works tsave lives by combating hunger and diseases that threaten the lives of vulnerable communities, through nutrition, food security, water and sanitation, health and
advocacy. AAH has operated in Nigeria since 2010 in response thigh rates of malnutrition in northern Nigeria, providing integrated health programming that focuses on nutrition, social protection for children and pregnant and lactating mothers in Jigawa and Yobe. AAH expanded tinclude programming in Bornin 2014 taddress needs including health, nutrition, WASH, food security, livelihoods and shelter needs.
The humanitarian crisis in Borno, Adamawa and Yobe (BAY) states in Nigeria’s north-east, that has spilled over intthe Lake Chad region, remains among the most severe humanitarian crises in the world
today. The prevalence of global acute malnutrition (GAM) was above 10% in Born(10.6%) and Yobe (13.3%) according tNHS 2018. The afore-mentioned rates are classified as a serious GAM level based on WHO classification of nutrition situation and are a significant public health concern.
HeRoN consortium partners are implementing comprehensive primary health care and nutrition activities across 23 LGAs in Yobe and Bornincluding Damaturu and Fune LGA. More than four years, there has not been LGA level SMART Nutrition surveys carried-out in these areas tassess the prevalence level of malnutrition and contributing factors. Tascertain these AAH is planning tconduct SMART Nutrition and mortality survey in March, 2020 testimate the malnutrition level and service as a baseline for HeRoN interventions. The survey will help HeRoN partners, Yobe SPHCDA and Nutrition sector for improving the current programing and planning a programs timprove the nutritional status of the children in those areas.

1.2 Project Goal
The survey will be carried-out using the SMART (Standardized Monitoring and Assessment of Relief and Transition) methodology. The survey will be conducted using cross-sectional quantitative methodology in Fune and Damuturu LGAs in Yobe state.

1.3 Geographical scope covered by the analysis
The geographical scope of the survey in Fune and Damuturu LGAs in Yobe state
2. PURPOSE AND OBJECTIVES OF THE STUDY
2.1. Objectives of the Survey

The overall objective of the survey is tassess the current prevalence of malnutrition amongst children less than five years of age and retrospective mortality rates among the general population and under-five children
in Damuturu and Fune LGAs in Yobe state.
The specific objectives of the survey are:

• To estimate the prevalence of acute malnutrition among children aged 6-59 months suing WHZ, MUAC and Oedema.
• To determine the prevalence of chronic malnutrition using HAZ and underweight and over-weight
• using WAZ among children 0 t59 months of age.
• To estimate retrospective mortality rates (both crude mortality rates (CMR) and Under-five mortality rates (U5MR)) in the target population in 120 days prior tthe survey.
• To estimate retrospective morbidity (fever, diarrhoea and cough) among children under five years.
• To determine the coverage of measles vaccination among 9-59 months aged children and Vitamin A supplementation and deworming among 6-59 months and 12-59 months respectively.
• To assess IYCF practices among the households with children under twyears of age in the target population.
• Tassess maternal malnutrition among the mothers of the surveyed children using MUAC.
• To determine safe water access, sanitation and hygiene practices of the survey population.
• To assess the current food consumption score and coping strategy situation of the surveyed population.
• To draw recommendations for addressing identified gaps tsupport on advocacy, planning, decision
• making and monitoring purposes.

3. Profile of the Evaluator (Qualification and Experience)
Qualifications:
Minimum of postgraduate degree in Public Health, Nutrition, Epidemiology, Statistics or related discipline with at least more than five years of working experience.
SMART survey manager training is mandatory from a recognized entity.
Experience:

• Three years of experience in conducting nutrition surveys including SMART surveys.
• Prior experience in conducting SMART surveys in the same context is required. Proof of evidence leading at least one survey as SMART survey manager.
• Experience in implementing emergency nutrition programs with CMAM and IYCF components.
• Advanced proficiency in the use of MS Office and statistics packages i.e EPI INFO, ENA for SMART 2020 version, and SPSS.
• Experience in North-east Nigeria is preferred.