First Needs Assessment Situation Report

Reference values in health emergency

 

The following table of reference values aims at helping in the interpretation of the findings from the rapid health assessment and in drawing the conclusions and recommendations for the first sitrep. The values are presented according to the specific items of the sitrep template[1]

Sitrep item; indicator

Reference Values

2.3 age breakdown[2]
0-4 y 12.4%
5-9 11.7
10-14 10.5
15-19 9.5
20-59 48.6
pregnant 2.4

3.1: CMR

> 1 x 10,000 per day

> 2 x 10,000 per day: critical

3.1: under-5 mortality rate

> 2 x 10,000 per day

> 4 x 10,000 per day: critical

3.1  common causes of morbidity: expected attack rates in emergencies

 

ARI in children<5                   10% per month in cold weather

Diarrhoeal diseases in children<5

50% per month

Malaria, in non-immune population

50% per month

3.1: malnutrition:

 

-        individual level, total

 

¨       Children 6-59.9 months

<- 2Z scores WfH or 80% median or <12.5 cm MUAC +/or nutritional oedema

-        individual level, moderate

 

¨       Children 6-59.9 months

<- 3Z to <2Zscores WfH or 70-80% median or 11.0 to <12.5 cm MUAC

-        individual level, severe

 

¨       Children 6-59.9 months

<- 3Z to <2Zscores WfH or <70% median or <11.0cm MUAC +/or nutritional oedema

-        Severity (aggregate level) for under-5

Serious: 10-14% below median or -2Z scores

Critical:   => 15% "          "                 "

-        Growth Faltering Rate in Under-5

30% of monitored children

-        Low Weight at Birth (< 2.5 kg)

7%   of live births

4.1 Water

 

-        Quantity

15 litres per person per day

-        Access

1 water point per 250 people

-        Distance

No more than 500 metres from housing

-        Quality

No more than 10 faecal coliforms per 100 ml at the point of delivery

-        Storage

For household: 2 water vessels of 10-20 litres

-        Facilities

1 washing basin per 100 people

4.2 Excreta disposal

 

-        Access to toilets

No more than 20 people per toilet

 

Toilets no more than 50 metres from housing

 

Toilets segregated by sex

4.3 Food

 

-        Food aid requirements

2,100 Kcals per person per day

 

10-12% of total energy by protein

 

17% of total energy from fat

4.4 Shelter

 

-        Covered area

3.5-4.5 m2 per person

4.5 Soap

 

-        Availability

250 gr. Per person per month

4.6 Fuel for cooking

 

-        Availability

15 kg of firewood per household per day

6.1 Measles coverage

 

-        Coverage

90% for 6m-12y

 

[1] A more complete list of reference values, as well as a discussion on their use and limitations, is given by the Humanitarian Charter and Minimum Standards in Disaster Response, the Sphere Project. Reference values for rapid health assessment are presented in the following WHO documents: Rapid Health Assessment Protocols for Emergencies and the Handbook for emergency Field Operations. 

[2] The demographic profile can vary largely across populations; the following breakdown is from WFP, UNHCR and WHO. This average profile should be cross-checked with local estimates, if available.

 

 

 

[1] A more complete list of reference values, as well as a discussion on their use and limitations, is given by the Humanitarian Charter and Minimum Standards in Disaster Response, the Sphere Project. Reference values for rapid health assessment are presented in the following WHO documents: Rapid Health Assessment Protocols for Emergencies and the Handbook for emergency Field Operations. 

[2] The demographic profile can vary largely across populations; the following breakdown is from WFP, UNHCR and WHO. This average profile should be cross-checked with local estimates, if available.