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Rapid SMART Methodology

Rapid SMART Methodology. GNC Meeting, September 16-18 th , 2014. What is Rapid SMART?. To RAPIDLY measure the nutritional status: Emergency programming Limited time / access for data collection.

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Rapid SMART Methodology

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  1. Rapid SMART Methodology GNC Meeting, September 16-18th, 2014

  2. What is Rapid SMART? To RAPIDLY measure the nutritional status: • Emergency programming • Limited time/access for data collection A standardised and simplified field survey methodology which produces a snapshot of the current situation on the ground.

  3. Rapid SMART Feasibility • Geographic area is clearly delimited (village, camps, settlements, urban slums, etc.) AND; • The target population is at maximum homogenous (shares the same living conditions, agro-ecological zone, etc.) Results are valid only after its representativeness, accuracy and precision are evaluated

  4. Key differences • Indicators: • Advised to only measure anthropometry (mortality for the case of South Sudan). • Sample size: • Fixed sample sizes are used depending on the scope of the survey. • Time for data collection: • Should not take more than 1 week. • Data quality checks: • Still uses ENA for SMART for the Plausibility Check.

  5. Sample size: One Settlement • ONE settlement to assess (1 camp, 1 block of houses in city, 1 village etc.) and: • Population is less than 200 households • Exhaustive assessment of all eligible children. • Population is above 200 households • Select a random sample of children using simple or systematic random sampling • A sample size of 150 children would be enough to gather relatively meaningful prevalence. • Assume DEFF=1; Convert # children to # households

  6. Sample size: One Settlement

  7. Sample size: > 1 Settlement • Cluster sampling must be used. At least 25 Clusters must be selected using PPS. • A sample size of 200 households (25 Clusters x 8 households) would be enough to gather relatively meaningful prevalence. • Assume DEFF=1.5; Convert # children to # households

  8. Data Collection • 4-5 Teams comprising of 2 surveyors with 3 days for training if a standardization test is needed. • Inclusion of children based on age: • Age of children between 6-59 months determined by official documents or events calendar. • Variables: Age, Sex, MUAC, Edema, weight and height • 1 week maximum to complete a Rapid SMART • Even shorter if 2 Clusters per day can be done. • Same recommendations for Reserve Clusters.

  9. Pilot Tests – only with MUAC

  10. SMART vs. Rapid SMART • A SMART survey and a Rapid SMART were conducted concurrently in Kabul, Afghanistan in November 2012 • Independent selection of the sample. • Both estimated average household size: (9.7), children U5 ( 15.6) Non Response (8%)

  11. Similar Sampling Procedures

  12. Variables Included

  13. Time / Logistics Required • Rapid SMART completed in 3 days

  14. Representativeness • Sex ratio for sampling was very similar for SMART and Rapid SMART • Age ratio for Rapid SMART was imbalanced • Underrepresentation of age group of 6 to 29 months.

  15. Survey Results • The GAM and SAM prevalence estimates from the Rapid SMART are similar to the findings of the SMART survey • Non-significant differences in confidence intervals

  16. Case of South Sudan • Based on the IPC workshop outcome and analysis in May 2014 recommendation • Urgently work with relevant agencies and clusters to ensure that nutrition, mortality and morbidity data needed for the IPC are being consistently collected. • Standardized validation process with ACF and CDC. • Why Rapid SMART? • Sustained conflict in the target Counties • Constrained Humanitarian access (flooding, security, Limited time, Logistics challenges…)

  17. Survey Design: With Mortality • Based on the IPC, certain counties were prioritized. • 3 rounds of surveys in Leer, Mayendit and Fashoda during July, Sept and Nov 2014. • Anthropometry: • 250 households (25 Clusters x 10 households). • Mortality: • 420 households (30 Clusters x 14 households).

  18. Round 1 Rapid SMART Results

  19. Round 2 Rapid SMART • Expected / tentative SET planning: • Leer round 2 from 5th to 12th of Sept • Mayendit round 2 from 17th to 23rd of Sept • Fashoda round 2 form 8th to 16th of Oct

  20. ACF-CA: SMART Project Convenor The SMART Project at ACF-CA, a core member of the GNC, in collaboration with the SMART Technical Advisory Group and Centers for Disease Control and Prevention (CDC Atlanta)establishes and maintains: • New training curriculums of field tools for survey managers and surveyors • Newly re-vamped SMART www.smartmethodology.org website. • Partnerships with other agencies in trainings & survey support.

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