SMART Nutrition Survey

SMART Nutrition Survey

SMART is an inter-agency initiative launched in 2002 by a network of organizations and humanitarian practitioners. SMART advocates a multi-partner, systematized approach to provide critical, reliable information for decision-making, and to establish shared systems and resources for host government partners and humanitarian organizations. SMART stands for Standardized Monitoring and Assessment of Relief and Transitions.

The SMART Methodology is based on the two most vital and basic public health indicators for the assessment of the magnitude and severity of a humanitarian crisis:-

1. Nutritional status of children under-five

2. Mortality rate of the population


Nutrition Surveys are usually national cross-sectional studies that are performed to assess the nutritional status of a selected population, identify the group at risk .


The main purpose of conducting the SMART surveys is to determine the prevalence of acute malnutrition among the population in the survey area in order to allow comparison to prior year surveys.

The result of the surveys will inform the program progress towards the project outcome as well as form a basis for adjusting the modalities of implementation of nutrition program in the county as will be necessary.


The overall objective is to determine the prevalence of acute malnutrition among children aged 6 to 59 months, estimate retrospective mortality rate of the population as well as to assess the food security situation and Infant and young children feeding practice (IYCF) in the county.

Specific objectives

• To determine prevalence of Global and Severe Acute Malnutrition (GAM and SAM) among children aged 6 to 59 months in the County.

• To determine retrospective crude mortality rates (CMR) and under five mortality rates (U5MR)

• To estimate the coverage of measles vaccination (9-59 months), Vitamin A supplementation (6- 59 months) and deworming (12-59 months).

• To determine the morbidity and health seeking behaviors in the county.

• To determine infant and young child feeding practices

• To assess the current household food security situation of the county

• To assess the hygiene practices and access to water and sanitation.

Nutrition indices and indicators

To determine the nutrition status of an individual, the weight, height, age, and presence of edema are recorded. The relationship of these measurements to each other is compared to international reference standards. The nutrition surveys are designed with respect to three indices: height-for-age (HFA), weight-for-height (WFH), and weight-for-age (WFA).


  • SMART ensures that consistent and reliable survey data is collected and analyzed using a single standardized methodology.
  • It provides technical capacity for decision-making and reporting, and comprehensive support for strategic and sustained capacity building.

Nepali Nurse

Nepali Nurse,RN,BSN

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