Informations et ressources scientifiques
sur le développement des zones arides et semi-arides

Accueil du site → Projets de développement → ONG/NGO Coopération décentralisée → Somalie → Integrated Management of Acute Malnutrition for the Malnourished Under Five Children and Pregnant and Lactating Women in Garbaharey and Burdubo of Gedo Region, Somalia

2012

Integrated Management of Acute Malnutrition for the Malnourished Under Five Children and Pregnant and Lactating Women in Garbaharey and Burdubo of Gedo Region, Somalia

Somalie

Titre : Integrated Management of Acute Malnutrition for the Malnourished Under Five Children and Pregnant and Lactating Women in Garbaharey and Burdubo of Gedo Region, Somalia

Pays /Région : Somalie

Code projet : CHF-DMA-0489-402

Durée : 04-12-2012 // 15-12-2013

Présentation
Nutrition assessments conducted in May ’12 in Gedo region by FSNAU and partners indicate elevated levels of acute malnutrition with GAM and SAM rates of 28.4% (23.0-34.5) and 6.2% (4.4-8.7) respectively in the pastoral, and GAM and SAM rates of 22.5% (19.2-26.1) and 6.1% (4.3-8.9) respectively, reported in the riverine livelihood zone. Data from health facilities from January to July 2012 in the pastoral, ago-pastoral and riverine livelihood zones of Gedo region, indicate a high (>20%) and decreasing trend of acutely malnourished children. The analysis indicates a sustained Very Critical nutrition situation in the two livelihoods in Gedo region. There was no statistically significant difference in the proportion of boys and girls acutely malnourished in both surveys (p> 0.05). The 90 days retrospective crude death rate is Serious among both the pastoral (0.59/10,000/day) and riverine (0.20/10,000/day) populations according to UNICEF classification. The respective U5 death rates 1.36 (0.77-2.36) and 1.60 (0.57-2.32) in pastoral and riverine livelihoods are also in Serious phase .The nutrition situation remains concerning, given the area is generally prone to seasonal outbreaks of AWD, cholera, malaria, measles and whooping cough. The situation is further aggravated by chronic underlying factors such as : household food insecurity, poor dietary quality, inadequate social and care environment (sub-optimal child care and feeding practices), and poor public health (limited access to basic human services such as safe water, health and sanitation facilities), which predispose the communities to high morbidity and subsequently high levels of acute malnutrition. Nutrition assessments conducted in two livelihoods zones of Gedo region recorded a higher proportion of acutely malnourished boys than girls in the pastoral (31% vs 25.9%) and riverine (26.7% vs 17.8%) livelihoods. Similarly, a higher proportion of acutely malnourished boys than girls are observed in the IDPs (31.1% vs 21 %). However, these differences are not statistically significant (Pr<75%). Similar patterns are more or less observed in the other forms of malnutrition where in the pastoral livelihood, 15.4% of boys compared to 19.6% of girls were stunted ; and 24.4% of boys as compared to 21.9% of girls were underweight. In the riverine livelihood 20.6% of boys compared to 17.1% of girls were stunted ; and 23.6% of boys as compared to 18.2% of girls were underweight. In the IDPs, 29.3% of boys compared to 30.4% of girls were stunted ; and 34.6% of boys as opposed to 28.7% of girls were underweight. A higher proportion of girls than boys were reportedly ill two weeks prior to the assessment in the pastoral, agopastoral and riverine populations. However, there is no statistically significant difference between the sexes showing that they were both in the pastoral and riverine livelihoods of Northern Gedo and among the Dolow IDPs, a significantly higher proportion of pregnant and/or lactating women were acutely malnourished (MUAC< 23.0 cm, and 21.0 cm, and/or bilateral oedema) than nonpregnant and non-lactating women (MUAC<18.5). The proportion of acutely malnourished pregnant and/or lactating women ranged between 24.1% (Serious) among the IDPs population to 30% (Critical) in the pastoral Livelihood. _ The maternal malnutrition in IDPs is Critical among the pregnant and lactating women, with 24% of the assessed women recording MUAC measurements of <23cm. The high levels of acute malnutrition among the pregnant and/or lactating women are linked to increased nutrient needs during these periods which may not be met.

Porteur du projet : Gedo Women Development Organization (GEWDO)

Financement : Nations Unies

Contribution : 248,270.00 $

United Nations Development Group

Page publiée le 13 août 2017, mise à jour le 10 avril 2018