Nutrition Situation Overview

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					                                                      Post Deyr ’10/11
                      Food Security and Nutrition
                           Analysis Unit Somalia

       Information for Better Livelihoods
                                                       January 24th 2011



                                                    Integrated Nutrition Situation Analysis

                                                    Nutrition Situation overview
                                                    Post Deyr 2010/2011




                                                                           Swiss Agency for
                                                                           Development and
                                                                           Cooperation SDC
EUROPEAN COMMISSION
Nutrition Overview, Deyr 2010/11
          Nutrition Information Sources (Jul-Dec’10)
   Nutrition Surveys (based on WHZ)
    24 detailed nutrition surveys (23 PPS & 1 small sample)conducted Oct-Dec.2010.
    –    8 focused on updating the situation in SC, at livelihood & regional level, from 6 months
         ago (Gu 2010)
    –    8 focused on northwest and northeast from 6 months ago (Gu 2010)
    –    8 focused on IDP populations (Hargeisa, Berbera, Burao, Galkayo, Bossaso, Garowe,
         Qardho, Afgoye)



   Rapid Nutrition assessments based on MUAC
    •    9 Rural livelihood level rapid assessments in Bay, Bakool, Hiran, Shabelle, and
         (n=13,000)
    •    Kismayo IDPs (n=1185)
    •    Rapid Urban in 37 sites (n=8700 children 6-59months)



   Health Center Monitoring (HIS): Collected from 100 health centres from all regions
    (irregular in places e.g. Bakool)

   Related Selective Feeding Centre Data



   Secondary Related Data (risk factors for deterioration)
    •   Disease outbreaks: AWD in Shabelle, Juba & & Whooping cough in Hiran &
        Bakool (Source-Somalia Health Sector Bulletins, July-Dec 2010)
    •   Drought, food insecurity and displacements in most parts of SC (Source: FSNAU,
        OCHA and UNHCR bulletins)
                                                                                                                                                                                Nutrition
                                                 Global and Severe Acute Malnutrition, WHO GS < -2 WHZ & < -3 WHZ and /or Oedema;
                                                                               Deyr (Oct. – Dec.) 2010
                                  35
Proportion Acutely Malnourished




                                  30
                                                                                                                                                                                                                                                                                                                                                 GAM                     SAM
                                  25
                                  20
                                  15
                                  10
                                   5
                                   0
                                       W.Golis/Guban


                                                                    Agrop. NW - Tog




                                                                                                                                                                                                                                                                        Gedo Pastoral
                                                                                                                                                       Coastal Deeh/NE


                                                                                                                                                                                        Addun NE/C




                                                                                                                                                                                                                                                                                                                                                      Berbera IDPs
                                                       Hawd oF NW


                                                                                      Sool Plateau




                                                                                                                                                                         Hawd of NE/C




                                                                                                                                                                                                                       Juba Pastoral
                                                                                                                     Nugal Valley




                                                                                                                                                                                                                                                                                                         Gedo Riverine




                                                                                                                                                                                                                                                                                                                                                                                   Garowe IDPs
                                                                                                                                                                                                                                                                                                                                         Burao IDPs
                                                                                                                                                                                                                                                                                        Gedo Agropast.




                                                                                                                                                                                                                                                                                                                                                                     Qardho IDPs


                                                                                                                                                                                                                                                                                                                                                                                                 Galkayo IDPs
                                                                                                                                                                                                                                                        Juba Riverine




                                                                                                                                                                                                                                                                                                                                                                                                                Bossaso IDPs
                                                                                                                                                                                                                                       Juba Agropast.




                                                                                                                                                                                                                                                                                                                         Hargeisa IDPs
                                                                                                                                    E. Golis/Karkaar




                                                                                                                                                                                                                                                                                                                                                                                                                               Afgoye IDPs
                                                                                                     Sanaag Region




                                                                                                                                                                                                     Galgadud Region



                                       Dec Dec Dec Dec Oct Nov Dec Dec Nov Nov Nov Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec


                                                                                                                                                                                                 Crude and under 5 yrs
                                                                                                                                                                                              Mortality rates generally stable
                                                                                                                                                                                                with exception of Galkayo
                                                                                                                                                                                                IDPs,CMR of 1-Serious;
                                                                                                                                                                                                   W. Golis and Addun
                                                                                                                                                                                              pastoralists in Alert CMR (0.5-
                                                                                                                                                                                                            0.9)
               Stunting – Median Rates, (WHO GS)
                          Deyr 2010/11
                                                                      The national median
                                                                     rate of stunting is 20%
25.0                                                                   (sustained from the
                                                            21.7     Gu’10) , which means 1
        19.7     20.5      19.7
20.0                                                                 in 5 children stunted
                                                                       who will not reach
                                                   14.5                      their full
15.0
                                                                         developmental
                                          9.4                               potential;
10.0
                    7.0                                        7.1   The IDPs and SC rates
           4.7                    4.7                                    are consistent.
 5.0                                                  2.5
                                             1.5
 0.0
           ALL IDPs Only    All            NW        NE       SC      In the Northwest, the
       (including        Excluding                                     median rate is 9.4%
          IDPs)            IDPs                                        which means almost
                 Total Stunting         Severe Stunting
                                                                        1 in 10 children
                                                                     stunted will not reach
                                                                            their full
                                                                        developmental
                                                                     potential, 50% of the
                                                                      burden in the south.
                                     Summary
               South / Central:                        Northwest/ Northeast populations:

•   Overall mixed picture, still high levels of    •Improvements in East Golis, attributed to
    nutritional vulnerability,                     economic activities linked to the Bossaso
                                                   Port; and in the Hawd and Addun of NE and
•    Particular concern over areas with Very       Central.
    Critical,
      • Juba, Gedo, Hiran and Bakool               •Deterioration or sustained phases across all
          primarily linked to food access and      livelihoods attributed to decreased access to
          also to disease                          milk, water and pasture, (following the
      • Bay: primarily likely linked to disease,   drought conditions).
          and food access in terms of quality.
•   Improvements in Central likely linked to       •Slight improvements in IDP populations to
    milk access following the Gu’10 rains, and     Serious, in the Northwest, and to Critical in
    to humanitarian interventions. As the          Bossaso IDPs. Deterioration to Critical in
    survey was done in early November, it is       Galkayo IDPs, together with elevated
    likely that the situation has deteriorated     mortality rates.
    with the drought.
•   Significant decline in humanitarian space      •All IDP populations continue to be very
    for agencies to meet to provide                nutritionally vulnerable
    programmes, fewer partners – risk factor
    for further deterioration in South Central.    •More opportunities for response –
                                                   improvement in vaccination coverage due to
Nutrition Situation Estimates
                                                         The national estimated
                                                          caseloads of acutely
                                                        malnourished children is
                                                        16.0%, with 4% severely;
                                                             which means:

                                                        1 in 7 children acutely
                                                       malnourished and 1 in 25
                                                       severely malnourished.
                                                                                                                                                                  This means approx.
                                                                                                                                                               241,000 children acutely
                                                                                                                                                                    malnourished,
                                                                                                                                                                with 57,000 severely;
                                                                                                                                                                   Reflecting a 6.6%
                   Distribution of Caseloads of Acute Malnutrition, by                                                                                           increase in caseloads
                                         Region                                                                                                                       from Gu’ 10.
              35                                                                                                                         30
              30
Proportions




              25
              20                                                                                                          15
              15                                                                                11    12                                                      However, The South hosts
              10                                       6         6              7        7                                                                    75%, or 181,000, of all the
                       2             4
               5                                                                                                                                                 acutely malnourished
               0                                                                                                                                             children and 80%, or 46,000,
                                                                                                      North west (exld…
                                   North East (exld…




                                                                                                                                         Shabelle Regions…


                                                                                                                                                              of all severely malnourished
                                                                                                Bay
                                                                               Central
                                                       Bakool




                                                                                         Gedo




                                                                                                                          Juba regions
                                                                Hiran region
                      NE/NW IDPs




                                                                                                                                                                         children.

                                                                                                                                                             1 in 4 are acutely malnourished
                                                                                                                                                                   and 1 in 23 severely
                                                                                                                                                                      malnourished
Distribution of Caseloads of Acute Malnutrition, Deyr’10/11