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Emergency Nutrition Interventions for Drought and Conflict Affected Vulnerable Populations in Bay and Bakool regions (Somalia)


Titre : Emergency Nutrition Interventions for Drought and Conflict Affected Vulnerable Populations in Bay and Bakool regions (Somalia)

Pays /Région : Somalie

Code projet : CHF-DMA-0489-408

Durée : 20-Feb-2013 // 31-Mar-2014

Somalia is one of the world’s longest running humanitarian crises. The combination of conflict, insecurity, mass displacement, recurrent droughts, flooding and extreme poverty, coupled with very low basic social service coverage, has seriously affected food security and livelihoods and greatly increased vulnerability to disease and malnutrition. An analysis of the situation has shown that extremely high levels of malnutrition, lack of clean water and sanitation facilities, poor hygiene, inadequate access to health care services coupled with high morbidity are the key determinants of the prevailing humanitarian crisis. Analysis of July 2012 FSNAU survey’s findings indicates stability in the nutrition situation among the pastoral population and a crisis among the agro-pastoral in Bakool region although due to inaccessibility FSNAU could not conduct a nutrition survey for the agro pastrol groups of Bakool. The GAM and SAM rate in the Pastoral groups of Bakool according to FSNAU July results are ; 26.2% (20.6-32.8 95%C.I) and 5.7% (3.6-9.1 95%C.I) respectively with Oedema cases at 1.0%. The overall nutrition situation according to FSNAU is rated as Very critical. In Bay, results of July’s FSNAU survey among the agro-pastoralist were similar to Bakools : GAM 26.2%, SAM 5.7% and oedema cases at 0.5%. The general nutrition situation is rated very critical. In the same region FSNAU July 2012 report showed that 22.0% of PLW had a MUAC of <23.0 cm showing the vulnerability of PLW to malnutrition due to their increased nutrition needs. Although the nutrition situation of the population in both Bay and Bakool regions indicates an improvement compared to the same period last year when the GAM rates were above 50%, the situation is still critical and above the emergency threshold. Hence the need for continuing with emergency nutrition intervention to avert further morbidity and mortality associated with malnutrition,more common with the most vulnerable who in this case are the children (boys and girls) under the age of 5years and pregnant and lactating women.

SC is among the few humanitarian organizations implementing CMAM programme including strong IYCF promotions component in Baidoa and Rabdure districts of Bay and Bakool regions respectively through the use of local partner GREDO, since April 2012. So far 8,672 children under fives : 4,379F and 4,292M) and 981 PLW were assisted in all the 8 supported OTP/TSFP centers.From the program data analyis, more girls are admited as compared to boys showing that girls were more prone to malnutrition, however these differences were generally not statistically signifant.The data analysis indicates high number of admission(boys and girls) compared to the expected number for the target population. This could be due to the fact that there are few existing partner in the regions hence beneficiaries from far villages are accessing the nutrition treatment centers. The situation has further been excerbarated by the influx of IDPS from conflict zones increasing the number of vulnerable boys, girls and women. FSNAU IYCF KAP(2007), indicated that PLW face alot of challenges in their diet choices as some of nutritious foods are prohibited ; the communities associate them to birth to big babies that could result to difficulties in delivery ; this could be a contributing factor to high low weight prevalence in somalia ; at 5% (WHO, 2006). The colostrum also is considered as dirty milk and should not be given to new borns hence contributing to early malnutrition and weaking the immunity agaisnt childhood diseases. SCiSOM has and continues to capacity build the local implementing partner, the nutrition sites have been set and are operational. However with the continued high case load of beneficiaries and long distances the beneficiaries have to travel inorder to access treatment, there is a need to expand the program with more sites in the two districts to reach more malnourished children (boys and girls) and PLW’s. The Post Gu 2012 nutrition assessment report indicated high malnutrition rates ; Bay rural : GAM- 20.4% ; SAM-6.9% ; CDR-1.40 deaths/10,000 persons/day ; U5MR- 2.70 deaths/ 10,000 children under 5 years /day ; Bakool rural : GAM- 26.2% ; SAM-5.7% ; CDR- 0.31 deaths/10,000 persons/day ; U5MR- 0.86 deaths/ 10,000 children under 5 years /day. This depicts the need to continue the existing emergency nutrition program and further expand to increase access and coverage To address long term malnutrition, nutrition prevention activities are necessary and continuation of Infant and Young Children (IYCF) activities that will include IYCF promotion services and micronutrient supplementation to Women of child bearing age (CBA) through Micronutrient supplementation when they receive services in Nutrition program

Porteur du projet : Save the Children (SC)

Financement : Nations Unies

Contribution : 804,151.00 $

United Nations Development Group

Page publiée le 13 août 2017, mise à jour le 9 avril 2018