Context

Following the Darfur conflict of 2003-2004, refugees from Sudan are found in Eastern Chad and are settled, among others, in 12 camps. As soon as they arrive, health structures were set up to enable them to enjoy one of the fundamental human rights of health, which is also a guarantee of protection. Leveraging the protection and stability of populations, the health sector is of great concern. To this end, health has become a central axis in the humanitarian response to refugees and the host population whose needs are constantly growing. Good health also contributes to improving resilience capacity, skills development, and therefore refugee self-reliance. This would allow them to lead productive lives and integrate into the host society.
Amnabak, Briedjing, Djabal, Farchana, Gaga, Gozamir, Iridimi, Milé, Kounoungou, Treguine, Touloum, Oure cassoni, constitute the 12 camps of the Sudanese refugees in eastern Chad. Also, in March 2018, the Kerfi site welcomes new Sudanese refugees fleeing the Darfur crisis

UNHCR and its partners and UN agencies have made a decision to conduct SMART SENS nutrition surveys to assess the prevalence of malnutrition and anemia among children 6-59 months of age and women of childbearing age. The results of the surveys conducted in 2017 in the Sudanese refugee camps revealed prevalence’s of global acute malnutrition variable from one camp to another, denoting an alarming situation in the camps of Djabal, GozBeida, Farchana, Treguine, Bredjing, Gaga. The critical situation of malnutrition was in the camps of Iridimi, Milé, Kounoungou, Treguine, Touloum, Oure cassoni.

It should also be noted that the same surveys reveal that anemia and stunting constitute a challenge for children aged 6 to 59 months, respectively, 40,5% for global anaemia and 47,1% global stunting.

Overall purpose and Scope of Assignment
The purpose of the consultancy is: 1) To measure the prevalence of acute malnutrition in children aged 6-59 months; 2) To measure the prevalence of stunting in children aged 6-59 months; 3) To determine the coverage of measles vaccination among children aged 9-59 months; 4) To determine the coverage of vitamin A supplementation received during the last 6 months among children aged 6-59 months; 5) To measure the prevalence of anaemia in children aged 6-59 months and in non-pregnant women of reproductive age between 15-49 years; 6) Investigate IYCF practices among children aged 0-23 months; 7) To investigate household food security and household dietary diversity; 8) To determine the population’s access to, and use of, improved water, sanitation and hygiene facilities.

The surveys will be conducted using Mobile Data Collection.

The consultant will ensure that:
• Survey protocol, timeline, and sampling procedure is elaborated
• Appropriate survey personnel are recruited
• Sufficient training is given to the survey teams
• Standardisation tests are undertaken for measurers
• SENS Questionnaires are adapted in collaboration with partners, and field tested
• Materials are tested for accuracy on a regular basis throughout the survey
• Quality of data collection and data entry is appropriate through proper supervision
• The data is analyzed according to the UNHCR SENS guidelines
• A nutrition survey report is produced according to the UNHCR SENS guidelines
• Raw Data is shared with UNHCR.

Monitoring and Progress Controls
The consultant will report on regular basis to the UNHCR Nutrition Officer based in Ndjamena, who has overall responsibility of the survey, in collaboration with Snr Public Health Officer for Chad and the Snr Nutrition Officer in HQ.
The final product
• Trained surveyors on SMART methodology and using the SENS guidelines. Effective and efficient logistical arrangements in the field to conduct the survey - A weighted estimate of key variables for all camps combined (GAM, SAM, Stunting, anaemia)
• Report checked against CRED completeness checklist - Final survey report including recommendations to address the situation according to SENS guidelines - The findings and major recommendations presented to partners at the mission level (oral & ppt). Results of standardisation test, details of data cleaning and plausibility checks should be presented in the final report. The final cleaned version of the data sets used to calculate the survey’s results is to be sent to Public Health Section in UNHCR HQ and to Ndjamena Country Office.

To Apply

Please send a CV to hqphn@unhcr.org with the title: Chad Nutrition Survey

Closing date 20 May 2019