Standardised_Expanded_Nutrition_Survey__SENS_ DDI_DJI_2023_SENS_AAC_v01_M_v01_A_ESS_FAO United Nations High Commissioner for Refugees Statistics Division Nesstar Publisher Standardised Expanded Nutrition Survey (SENS), Ali Addeh Camp - 2023 DJI_2023_SENS_AAC_v01_M_v01_A_ESS United Nations High Commissioner for Refugees (UNHCR) World Food Programme (WFP) Ministry of Health Djibouti Ministry of Interior of Djibouti, National Office for Assistance to Refugees and Disasters (ONARS, Office National pour les Réfugiés et les Sinistrés) United Nations Children’s Fund (UNICEF) United Nations High Commissioner for Refugees (UNHCR) Nesstar Publisher Curation team Other Household Survey [hh/oth] The Standardised Expanded Nutrition Survey (SENS) is a series of survey methodologies developed by the United Nations High Commissioner for Refugees (UNHCR) and specifically designed to consider the factors that are most relevant to refugees. SENS measures not only nutritional status data but also measures relevant other data related to household composition, anaemia, measles vaccination, vitamin A supplementation, diarrhoea and other health-related indicators, infant and young child feeding (IYCF), food availability, water, sanitation and hygiene (WASH), latrine usage and mosquito nets at the household-level. By collecting all this data, SENS studies provide a detailed snapshot of the nutritional health of a refugee population at a given point in time. Health and Nutrition Water Sanitation Hygiene Malaria Prevention and Control Food Consumption This dataset contains results from the Standardized Expanded Nutrition Survey (SENS) 2023 conducted in the Ali Addeh refugee settlement, Djibouti. Data was collected from 9 July to 11 August 2023 using simple random sampling, following version 3 of the SENS methodology. Modules include demography, anthropometry, anaemia, health, infant and young child feeding (IYCF), food security, water, sanitation and hygiene (WASH), mosquito net coverage, and COVID-19 vaccination. The dataset covers children aged 6-59 months, women of reproductive age (15-49), and sampled households. Data collection was carried out via mobile devices using the ODK software, while data was analyzed using the ENA software for SMART and Epi Info software. Djibouti The study covered the Ali Addeh refugee settlement in the Ali Sabieh region in Djibouti. Household All households and eligible individuals residing in the Ali Addeh refugee settlement as of July 2023. Sample survey data [ssd] United Nations High Commissioner for Refugees (UNHCR) World Food Programme (WFP) Ministry of Health Ministry of Interior of Djibouti, National Office for Assistance to Refugees and Disasters (ONARS, Office National pour les Réfugiés et les Sinistrés) United Nations Children’s Fund (UNICEF) Simple random sampling was used to select households in Ali Addeh. All eligible children aged 6-59 months were included for anthropometry, anaemia, and health modules. A subset of households was selected for enumeration of the food security, water, sanitation and hygiene (WASH), and maternal health modules. Face-to-face [f2f] Standardized Expanded Nutrition Survey (SENS) Version 3 questionnaires were adapted for local context and used to collect data on demography, nutrition, food security, water, sanitation and hygiene (WASH), anaemia, infant and young child feeding (IYCF), mosquito net coverage, and COVID-19 vaccination. Data was collected using Android tablets with the ODK software. Enumerators followed standardized SENS protocols, including repeat visits for absent households and special handling of admitted children. Daily syncs and plausibility checks using the ENA software for SMART were performed. UNHCR, WFP, Ministry of Health Djibouti, ONARS, UNICEF (2025). Djibouti: Standardised Expanded Nutrition Survey (SENS). Accessed from: https://microdata.unhcr.org Children module.NSDstat This file contains the children module data dictionary. 0 44 Nesstar 200801 COVID-19 Module.NSDstat This file contains the COVID-19 module data dictionary. 0 20 Nesstar 200801 Demographics & Mortality.NSDstat This file contains the Demographics & Mortality module data dictionary. 0 30 Nesstar 200801 Food Security, Mosquito Net & WASH.NSDstat This file contains the Food Security, Mosquito Net & WASH module data dictionary. 0 62 Nesstar 200801 Women Module.NSDstat This file contains the women module data dictionary. 0 17 Nesstar 200801 ID 0 0 Camp name 0 0 Date of interview 0 0 Cluster 0 0 Sex of ${CHNAME}: 0 0 1 f 2 m Age of child in months 0 0 2 1 3 2 4 3 5 4 6 5 7 6 8 7 9 8 10 9 11 10 12 11 13 12 14 13 15 14 16 15 17 16 18 17 19 18 20 19 21 20 22 21 23 22 24 23 25 24 26 25 27 26 28 27 29 28 30 29 31 30 32 31 33 32 34 33 35 34 36 35 37 36 38 37 39 38 40 39 41 40 42 41 43 42 44 43 45 44 46 45 47 46 48 47 49 48 50 49 51 50 52 51 53 52 54 53 55 54 56 55 57 56 58 57 59 58 60 59 Weight in kg 0 0 Height in cm 0 0 Presence of bilateral pitting oedema 0 0 Middle upper arm circumference in mm or cm 0 0 Child currently being treated for malnutrition 0 0 Child currently enrolled in BSFP 0 0 Vaccination against measles 0 0 Vitamin A capsule in past 6 months 0 0 Drug for intestinal worms in past 6 months 0 0 Diarrhoea in past 2 weeks 0 0 Give ORS for diarrhoea 0 0 Give zinc or syrup for diarrhoea 0 0 ${CHNAME} ’s haemoglobin (Hb) in g/dL (±0.1 g/dl): 0 0 Haemoglobin (Hb) in g/dL (±0.1 g/dL) or in g/L (±1g/L) 0 0 Child ever breastfed 0 0 How long after birth was child breastfed 0 0 Child breastfed yesterday 0 0 Now I would like to ask you about liquids that ${CHNAME} may have had. I am interested in whether your child had the item even if it was combined with other foods. Yesterday, during the day and night, did ${CHNAME} receive any of the following? 0 0 1 TRUE Use cash grant on water 0 0 Yesterday drank infant formula 0 0 FCS milk products 0 0 Yesterday drank juice 0 0 Yesterday drank clear broth 0 0 Yesterday drank sour milk or yogurt 0 0 Yesterday drank thin porridge 0 0 Yesterday drank te or coffee with milk 0 0 Yesterday drank other water-based liquids 0 0 Use cash grant on food 0 0 Yesterday drank from bottle 0 0 Now I would like to ask you about some particular foods ${CHNAME} may eat. I am interested in whether your child had the item even if it was combined with other foods. Yesterday, during the day or at night, did ${CHNAME} consume any of the following? 0 0 1 TRUE Yesterday ate meat 0 0 Yesterday ate fortified-based foods 0 0 Yeterday at super foods 0 0 Yesterday ate ready-to-use therapeutic food (RUTF) 0 0 Yesterday ate ready-to-use supplementary food (RUSF) 0 0 Yesterday ate lipid-based nutrient supplements (LNS) 0 0 Yesterday ate iron-fortified infant formula 0 0 Yesterday ate any iron-fortified food 0 0 ID 0 0 Camp name 0 0 Date of interview 0 0 Cluster number 0 0 Household member sex 0 0 Household member age 0 0 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 Received COVID-19 vaccination (yes/no) 0 0 Type of dose received (e.g. first, second, booster) 0 0 Number of COVID-19 vaccine doses received 0 0 Not vaccinated (yes/no) 0 0 Reason for not being vaccinated 0 0 Females aged 18–39 years fully vaccinated 0 0 Females aged 18–39 years partially vaccinated 0 0 1 TRUE Females aged 18–39 years not vaccinated 0 0 Females aged 40–60 years fully vaccinated 0 0 Females aged 40–60 years partially vaccinated 0 0 1 TRUE Females aged 40–60 years not vaccinated 0 0 Females aged 60+ years fully vaccinated 0 0 Females aged 60+ years partially vaccinated 0 0 1 TRUE Females aged 60+ years not vaccinated 0 0 ID 0 0 Camp name 0 0 Date of interview 0 0 Gender of head of household 0 0 Age of head of household 0 0 Household size 0 0 What is the total number of household members that LEFT this household since the [INSERT THE START DATE OF THE RECALL PERIOD]? 0 0 What is the total number of household members that DIED since [INSERT THE START DATE OF THE RECALL PERIOD]? 0 0 Ratio of children under 5 to household size 0 0 Ratio of women to household size 0 0 Ratio of pregnant women to household size 0 0 Ratio of females under 2 to household size 0 0 Ratio of males under 2 to household size 0 0 Ratio of children under 2 to household size 0 0 Ratio of females under 5 to household size 0 0 Ratio of males under 5 to household size 0 0 Ratio of females aged 5–14 to household size 0 0 Ratio of males aged 5–14 to household size 0 0 Ratio of children aged 5–14 to household size 0 0 Ratio of females under 15 to household size 0 0 Ratio of males under 15 to household size 0 0 Ratio of individuals under 15 to household size 0 0 Ratio of females aged 15–64 to household size 0 0 Ratio of males aged 15–64 to household size 0 0 Ratio of individuals aged 15–64 to household size 0 0 Ratio of females aged 65 and older to household size 0 0 Ratio of males aged 65 and older to household size 0 0 Ratio of individuals aged 65 and older to household size 0 0 Ratio of household females to total household size 0 0 Ratio of household males to total household size 0 0 ID 0 0 Camp name 0 0 Date of interview 0 0 Receive food assistance 0 0 Reason don't have access to food assistance 0 0 Number of days food distrubtion lasted 0 0 Basic needs not met 0 0 Cooking fuel used 0 0 Cooking fuel assistance 0 0 Days cooking fuel assistance lasted 0 0 Coping strategy sell assets 0 0 Coping strategy begging 0 0 Coping strategy child labor 0 0 Coping strategy work away 0 0 Coping strategy risky activity 0 0 Coping strategy skip rent / debt 0 0 Coping strategy loans / borrow monty 0 0 Coping strategy reduce expenditure 0 0 rCSI less pref / exp food 0 0 rCSI borrow food 0 0 rCSI reduce meals 0 0 rCSI limit portions 0 0 rCSI reduct adult consumption 0 0 reduced Coping Strategy Index 0 0 FCS cereals, roots, tubers, starches 0 0 FCS pulses 0 0 FCS milk products 0 0 FCS animal protein 0 0 FCS flesh meat 0 0 FCS organ meat 0 0 FCS fish 0 0 FCS eggs 0 0 FCS vegetables 0 0 FCS vit A rich vegetables / tubers 0 0 FCS green vegetables 0 0 FCS fruits 0 0 FCS vit A rich fruits 0 0 FCS fats 0 0 FCS sweets 0 0 FCS spices, condiments, beverages 0 0 Source of food 0 0 Food Consumption Score 0 0 Household size 0 0 # people live and slept in the dwelling last night 0 0 # children 0-59 months live and slept in dwelling last night 0 0 # pregnant live and slept in dwelling last night 0 0 Dwelling sprayed in past 6/12 months 0 0 Have mosquito nets for sleeping 0 0 # mosquito nets for sleeping 0 0 # of LLIN mosquito nets 0 0 Total slept under any net 0 0 Total slept under long-lasting insecticidal nets (LLIN) 0 0 Under 5 slept under any net 0 0 Under 5 slept under long-lasting insecticidal nets (LLIN) 0 0 Pregnant slept under any net 0 0 Pregnant slept under long-lasting insecticidal nets (LLIN) 0 0 Source of drinking water 0 0 Where go to defecate 0 0 Soap in household 0 0 # of containers to collect or store water 0 0 Average liters of water collected per person per day 0 0 Total liters of water collected per household per day 0 0 ID 0 0 Camp name 0 0 Date of interview 0 0 Cluster number 0 0 Age in years 0 0 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 Pregnant 0 0 Antenatal care (ANC) programme 0 0 Receiving iron-folate pills 0 0 Breastfeeding 0 0 Breastfeeding child under 6 months 0 0 Enrolled in the BSFP 0 0 ${WMNAME}’s middle upper arm circumference (MUAC) in mm (±1mm) or cm (±0.1cm): 0 0 MUAC in mm (±1mm) or cm (±0.1cm) 0 0 ${WMNAME} ’s haemoglobin (Hb) in g/dL (±0.1 g/dl): 0 0 Haemoglobin in g/dL (±0.1 g/dL) or in g/L (±1g/L) 0 0 Referral for malnutrition 0 0 Referral for severe anaemia 0 0