FSNWG Nutrition Sub-Group Eastern and Central African Region Nutrition Update
Presentation outline Regional overview Nutrition situation Ethiopia Kenya South Sudan Somalia Uganda
Regional overview The humanitarian situation is rapidly deteriorating in the Horn of Africa as a result of severe drought caused by three years of failed rains across much of the region. Approximately 20 million people in crisis and emergency food insecurity levels in Somalia, Ethiopia, Kenya, South Sudan and Uganda. Cholera outbreaks ongoing in Somalia and South Sudan. Conflict and insecurity affecting large areas of the region, particularly in South Sudan and Somalia, with large population movements caused by both insecurity and drought.
ETHIOPIA Context Somali, SNNP, Oromia and Afar regions mainly affected. AWD outbreaks are on the rise in Somali, posing a serious burden to the health system in the region. 192 out of 732 woredas targeted as Hotspot Priority 1 (severely affected)* Admissions expected to rise in the coming months as severe food and water shortage continues in drought affected regions example of SAM Between 1 January and 13 April 2017, 4,768 new Somali asylum seekers were registered as refugees, (70.4% being children) Food aid beneficiaries expected to increase (Meher harvest loss due to frost in Borena, East Hararge, Guji, West Guji as well as in the lowlands of Bale zones in Oromia region and the South Omo zone of SNNP region)
Progress for each region in Ethiopia Somalia Region Afar Region Oromia region SNNPR region
Ethiopia Response Led by Government of Ethiopia s (GoE) through the federal and regional level Disaster Risk Management Technical Working Groups (DRMTWGs) brings together various taskforces and sector cluster partners to coordinate emergency response efforts Coordination to acute watery diarrhoea (AWD) response underway in Somali region by FMOH, WHO and partners Temporary treatment centers (TTCs) established and operational in some areas 51,184 admitted with SAM in Jan-Feb 2017, out of whom 3,462 were admitted to inpatient care (7% of total SAM admissions); 89% reporting rate Presence of HR for partners, govt and agencies to include rapid response teams (though some gaps) Targeted feeding programs increased in number 2 Standby partners deployed to facilitate emergency response
KENYA Context Approximately 2.6 million people are food insecure (2017 Kenya Flash Appeal, March 2017) 109,464 children under 5 in need of SAM treatment (Nutrition SMART Surveys, Feb/March 2017) and 337,292 for MAM (WFP) Most affected counties are Isiolo, Baringo, Turkana, and Marsabit Low dietary intake, household level food insecurity, high disease burden Cholera cases reported in Tana North (252 cases and 5 deaths (CFR = 1.9%) of which 41cases (16%) are laboratory confirmed).
KENYA Response 1300 health facilities in the 23 ASAL counties delivering HINI. 14,520 admitted with SAM 30,183 admitted with MAM in Jan- March 2017
KENYA Response Coordination and nutrition information systems support at both national and sub-national level for improved emergency programming and early warning. Procurement and delivery of supplies Outreach, screening and treatment ongoing in 14 counties. 114 (30%) of health facilities in Marsabit, Wajir, Isiolo, Turkana, East Pokot of Baringo using the Surge Model WFP plans for blanket supplementary feeding in parts of Turkana Over 1, 2 million people were reached in March through WFP, and Kenya Red Cross Society (KRCS) food and cash programmes
SOUTH SUDAN Context The nutrition situation remains critical (> GAM rate above 15 %) Areas of concern: Unity state (famine), Jonglei state and the Greater Equatoria. Response restricted by insecurity e.g parts of Koch, Leer and Mayendit. 1.6 million refuges in neighboring countries. 837,068 and 270,664 children estimated to be MAM and SAM respectively in 2017 707 and 702 sites delivering SAM and MAM respectively of which 352 have both SAM and MAM
SAM Admission Trends (2015 2017)-South Sudan 25000 20000 15000 10000 5000 15939 13252 10556 January 20004 14682 13620 February 0.3% OTP 4.8% 7.7% 87.2% SAM-2015 MAM Admission Trends (2015 2017) Cure 25000 20000 15000 10000 5000 22504 21866 21526 19306 12332 12045 January February 4.2% 12.8% 0.1% TSFP MAM-2015 MAM-2016 MAM-2017 82.9% Cure
SOUTH SUDAN Response Targeted feeding programs ongoing Blanket supplementary feeding Screening in affected areas IYCF- E component in parts of the country Mobile response teams to support in provision of WASH, Health and Nutrition services
South Sudan-Achievement vs Targets 1 st Quarter Progress (2017)* Target Reached 501,209 13% Achieved 207,257 8% Achieved 203,432 27,934 41,207 27,027 SAM MAM PLW
SOMALIA Context Three years of failed rains has resulted in severe drought across most of the country. Approximately over 6.2 million facing acute food insecurity, (> 50% of the population). GAM prevalence is above critical (15 per cent) in 13 out of 27 rural and displaced groups. > 24,000 cases of acute watery diarrhoea (AWD)/cholera have been reported in 2017
SOMALIA Response Promotion of coordinated response through single service provider in collaboration with govt, UN agencies and partners. 75 nutrition actors operating across Somalia The cluster prioritizing hotspots with highest rates of malnutrition levels to deliver an integrated package of life-saving nutritional humanitarian assistance to children aged 6-59 months, pregnant and lactating mothers Treatment and preventive TSFP, OTP/SC Micronutrient supplementation Follow up and advocacy on pipeline chain
Uganda Context An estimated 10.9 million are experiencing acute food insecurity (Phase 2 and 3), of which 1.6 million are in crisis situation (Phase 3). 31,000 children under-5 are estimated to need SAM treatment High levels of stunting and anaemia reported more so amongst refugee populations Reports from most district health departments in Karamoja show that there is limited demand for health services, such as ante-natal care, facility delivery, children reached with immunization and other nonincentivized services, as communities migrate in search of pasture. Response Led by MOH and the Office of the Prime Minister Targeted feeding programs with micro-nutrient and vitamin supplementation (e.g. Vit A, Folic) Screenings and referrals
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