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Tools for » CHF Som NUTRIT/2011-1/OCHA-NGO
Project ID 00078157 Description CHF Som NUTRIT/2011-1/OCHA-NGO
Fund
Somalia Humanitarian Fund
Start Date *: 4 Apr 2011
Theme
Nutrition
Project status On Going
Country Somalia Participating Organization   NGO/OCHA - NGO implementation/OCHA
About

CHF-DMA-0489-072 “Reduce morbidity & mortality related to malnutrition among U5 children and women” – 367,645$

The nutrition situation in Jubas is Very Critical, with latest FSNAU assessment report showing 30.7% GAM and 7.8% SAM in pastoral and 29.7% GAM and 6.4% SAM in riverine areas. AFREC which carries out routine screening of U5 children has witnessed a more than 70% in numbers of screened children qualifying for admission into OTP and SFP in Kismayo and Afmadow districts. This is attributed to poor access to food coupled with lack of access to safe water, limited access to health services and poor child care and feeding practices. Lack of access to food can be traced back to the failed Deyr rainfall leading to poor harvests. Amidst the current drought, men migrate with animals leaving women and children who then have access to milk reduced further, thus complicating the situation of malnutrition at the household level. To cope with limited access to food, households resort to unfavorable coping strategies including skipping meals and selling few remaining livelihood support assets, each of which is often the cause of further vulnerabilities. Malnourishment negatively affects the health and the development of the affected child and limits their potentials for years to come.

AFREC proposes an integrated package of care incorporating health, livelihood support, water access, hygiene and nutrition to address the situation. This project will support supplemental and therapeutic nutrition, micronutrient supplementation, deworming, optimal IYCF, management of common illnesses, maternal nutrition and care, ANC and PNC services, immunization and hygiene promotion.                                                                                                                                                                                                                 

CHF-DMA-0489-075 “Prevention and treatment of acute malnutrition in Lower Shabelle and Gedo Regions through community based therapeutic care” – 488,126$

Drought in the 2 Regions manifests in the form of reduced pastures, scarcity of water, acute famine, increased livestock mortalities and finally human population displacements and deaths. The nutrition situation in Lower Shabelle and Gedo regions reflects the critical situations of most of south central Somalia where the delivery of health services has been deeply affected by the long crises, droughts and security problemsThe likely deterioration in the nutrition situation in Lower Shabelle region, is most likely as a result of high morbidity burden with reported AWD, cholera, malaria and whooping cough outbreaks, poor dietary diversity due to reduced access to cereals and milk characterized by increased prices; and in Gedo regfion, indicateda very critical nutrition situation.showing general deterioration in the entire region.among the pastoral population indicatesa GAM rate of 26.4% and SAM of 4.4%.

The project aims to increase access to nutrition services for drought affected communities and IDPs in those Regions. Outcomes are (i) Increased case detection, prevention and treatment of acutely malnourished under-5 children and pregnant mothers; (ii) 30 Nutritional ( 20 OTP sites,4 SC and 6 SFP) sites fully operational with skilled staff on detection of malnutrition in under-5 children and pregnant mothers; and (iii) BNSP enhanced and made available to beneficiaries.                                                                                                                                                                                                                                                                                    

CHF-DMA-0489-086 “Emergency Nutrition Intervention to reduce morbidity and mortality related to malnutrition of children <5 years and pregnant and lactating women in Jowhar and Balcad districts, Middle Shabelle” – 213,046$                          

Malnutrition is till today one of the biggest problems affecting the Middle Shabelle region and the current drought is increasing needs.  According to FSNAU Post Deyr 2010/11, 75,000 people in rural and urban areas of Middle Shabelle are in crisis, with 15,000 in Humanitarian Emergency and 90,000 in Acute Food and Livelihoods Crisis (AFLC).  In particular, the southern agro-pastoralists of Jowhar and Balcad districts are experiencing AFLC.  The nutrition situation in Middle Shabelle is critical with GAM levels estimated at above 15% and SAM levels estimated at 7.4%. 

The deterioration in the nutrition situation of the agropastoral and riverine populations of Middle Shabelle is causing outbreaks of disease (acute watery diarrhea - AWD, cholera, malaria and whooping cough), reduced access to food due to rapid increases in food prices especially of cereals and milk, in addition to the chronic problems of poor child feeding and health care practices.                                                    

The aim of this project is to reduce morbidity and mortality related to malnutrition of children <5 years and pregnant and lactating women in Jowhar and Balcad districts by the management of malnutrition through providing OTP (in 20 rural villages and 3 MCH), SFP (in 3 MCH) and SC (at Jowhar Regional Hospital) services.

CHF-DMA-0489-103 “Provision of supplementary feeding program in Gedo and Lower Shabelle Regions, Districts of Bardera, Garbahaarey, Belet-hawa, El Wak and Kurtunwarey” – 284,300$

In Gedo and Lower Shabelle the nutrition situation is above the humanitarian threshold. The driving factors include the underlying vulnerability to high malnutrition faced in these regions, where rates have not dropped below 15% in the past two decades.  This is due to limited access to health services, poor infant and young child feeding practices and poor quality diets which are low in micronutrients essential for children to fight disease and promote healthy growth and development.

On top of these factors, the Deyr rainy season has failed, which has reduced food at the household level, especially milk, which is one of the most important foods for children in Somalia. These results highlight a need for increased services to rehabilitate these children and increase the food access in their homes to prevent relapse.

The proposed nutrition project proposal is aiming at reducing morbidity and mortality associated with identified acute malnutrition.

CHF-DMA-0489-111 “Emergency supplementary and therapeutic feeding to avert nutrition- related mortality and morbidity in Gedo south” – 271,192$                                                                                                    

The total population in crisis in Gedo region has significantly increased from about 14% in Gu ’10 to 23% (75, 000) in the current season, of whom 10,000 are in HE and 65,000 are in Acute Food and Livelihood Crisis. Of the total in crisis, 5,000 people in HE and 20,000 in AFLC are from urban while the remaining are from rural livelihoods. The Post Deyr’10/11 analysis shows a deterioration in the food security situation with poor crop and animal production recorded in Gedo region. This deterioration has come as result of the poor Deyr rainfall performance which has significantly affected the rainfall dependent pastoral and agro-pastoral livelihoods.

Hard organization will target 4395 moderate malnourished children, 635 severely malnourished and 1840 PLWS in 2 out of the 5 districts in Gedo. Hard is seeking CHF funding to support continuation of the 18 SFP and 6 OTP sites to address the high malnutrition rates and reduce morbidity and mortality while linking the beneficiaries to the livelihood, agriculture and health programs in the catchment area. At least 70% of  the beneficiaries will benefit from this services in the targeted districts.              

 

CHF-DMA-0489-117 “Emergency nutrition response for the management of acute malnutrition and capacity building for nutrition actors on IMAM & IYCF in South Central, Somalia” – 578,139$                                                                                                               

Severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) among children <5 years and pregnant and lactating women is a major concern in Southern Somalia where the nutrition situation has deteriorated in the last 6 months to Very critical levels in the Jubbas and Gedo while maintaining very critical levels in Bay, Bakol and Hiran Regions  (FSNAU 2011 Post deyr findings). Humanitarian actors specially international and national agencies are trying to to reverse the negative trends but are currently faced with low capacity as most of the international staff  have no access and the remaining national staff require capacity building on key areas of nutrition interventions in order to implement and deliver quality nutrition programmes .

DIAL seeks to undertake capacity building training based on the integrated management of acute malnutrition (IMAM) Somalia guidelines and delivered by an nutrition trainer for 550  Nutrition staff  in  9 South Somalia  regions. DIAL hopes to build on its experience and consolidate the gains made recently by further scaling up capacity building trainings to other regions.

DIAL will also undertake emergency nutrition intervention mainly SFP,OTP and SC at Kismayu General  Hospital (KGH).The SC at KGH composed of 6 rooms  is currently debilitated .The rooms not only  lacks doors and windows but the floor and the roofs are damaged. It also lacks and requires shelves, tables, electrical fittings and installations and paintings.                                                                                                                                                                                                            

CHF-DMA-0489-118 “Therapeutic and Supplementary Emergency Feeding to Acute Malnourished Children, Pregnant and Lactating Women  in 14 IDP camps in Afgooye through BNSP to avert nutrition related morbidity and mortality rates” – 151,220$                                                                                                             

Nutrition situation in Afgoye-Lafoole IDP camps worsened to critical levels. Based on the just released FSNAU findings, the GAM rates have increased to 20 % (11.5-20). The SAM rates have increased to 2% (12-5).Children suffer from food, nutritional related, communicable and water borne diseases; 45 % from diarrhoea -115 %, ARI-55% and fever 30%. 3.5 % accounts for children within the bracket of severe malnutrition. The findings showed 8% increase in both pregnant and lactating women suffering from Acute Malnutrition.

Disrupted humanitarian activities has affected delivery of health, nutrition services, which caused high mortality and poor health, limited access to safe water, sanitation and health facilities and poor infant young child feeding Practices. The purpose of the project to provide quality nutrition and preventative services to the drought affected population of Afgoye corridor. The specific activities include OTP and SFP for both children and PLW in the 14 targeted IDP camps in Lafoole.  

CHF-DMA-0489-126 “Prevention and treatment of acute malnutrition in Mogadishu through community-based therapeutic care- Phase 11” – 1,110,443$                                                            

The humanitarian situation in Banadir Region is appalling. Th population is constantly in displacement due to conflict/violence. A rapid MUAC assessment conducted in December 2010(FSNAU) in six district sites of Mogadishu reported acute malnutrition rate of >15% and Severe MUAC (<11.5 cm or oedema) rate of >3%.  This situation is seen to have deteriorated from the Post Gu rapid nutrition assessments done by FSNAU-September 2010 on 620 children which showed the situation to be critical. This is attributed to the continuing aggravating factors such as poor shelter, water and sanitation, access to health services, civil insecurity and displacements into the surrounding poor urban settlements. The security situation remains volatile.

The project aims to provide nutrition treatment to children under five, pregnant and lactating women reducing malnourishment through a community-based nutrition programme, providing 8400 women and 40131 children with evidence based nutrition intervention services in line with Basic Nutrition Service (BNSP) Package and strengthening the capacity of the local partners.                                                                                                                                                                                                    

CHF-DMA-0489-134 “Improve health and nutritional status of the women and children of Buale and Sakow/Salagle populations” – 225,080$                                                              

Integrated data analysis from nutrition assessments conducted in Juba regions in December 2010, in addition to health and feeding facilities’ information shows a significant deterioration of the nutrition situation to Very Critical among the populations in the three livelihoods in Juba regions.

The high levels of acute malnutrition is linked to food security related factors including poor crop and livestock production, high cereal prices, and low terms of trade. High morbidity continues to be a major risk factor to acute malnutrition. The situation in Juba is worsened by withdrawal of international humanitarian organizations in the area providing health and nutrition services due to the prevailing civil insecurity in the area. In addition, chronic poor child care and feeding practices, inadequate safe water and sanitation facilities as well as limited access to health services, are other important risk factors influencing the acute malnutrition levels in the targeted areas. In short term, urgent interventions to rehabilitate acutely malnourished children, and boost food access are required.

This intervention is intended to improve the nutrition status of children less than five years, pregnant women and lactating mothers moreover.

CHF-DMA-0489-135 “Emergency nutrition support in Buaale  District  Middle Juba Region” – 216,512$                                                                                                 

Sanaag region is a drought prone pastoral livelihood zone, which has experienced several years of prolonged droughts mainly due to consecutive failed rainy seasons. A post Deyr 2010/11 assessment done by the Food Security and Nutritional Analysis unit (FSNAU) indicates that Sanaag is facing a severe water shortage following the failure of the short rains. An assessment done in Sanaag in Dec/Jan 2011 by CARE with other stakeholders indicates that pastoralists have lost about 41% of their goats, 66% sheep and 32% of their cattle as a result of the drought. Given pastoralist reliance on livestock for food (meat and milk), it follows that most of the HHs will have no access to milk and meat, worsening their nutritional status. This is compounded by a significant increase in the prices of staple foods. Most respondent indicated that they are unable to repay debts, depriving them of a key coping mechanism during drought.

CARE proposes to use cash relief and cash for work to address the current emergency situation. This will enable beneficiaries to increase their purchasing power to access water, food and repay debts incurred, restoring coping mechanisms.

                                                                                                                                                                                                                               

CHF-DMA-0489-139 “Emergency Outpatient Therapeutic Feeding and Supplementary Feeding in Luuq, Doolow and Belet Xaawo Districts, Gedo Region” – 212,161$                                                                                                          

According to the FSNAU integrated analysis of data from nutrition assessments conducted in Gedo in December 2010 shows a very critical nutrition situation among the three livelihood groups in the region. The nutrition assessment among the pastoral population indicates a GAM rate of 26.4% and SAM rate of 4.4%. An assessment among the Riverine population showed a GAM rate of 26.7% and SAM rate of 6% while an assessment conducted among the agro-pastoral population show a GAM rate of 25.3% and a SAM rate of 6.5%.  The worrying nutrition situation in the region is mainly linked to chronic underlying factors including ; poor dietary quality, sub-optimal child care and feeding practices, and limited access to basic human services such as safe water, health and sanitation facilities, which predispose populations to high morbidity and subsequently high levels of acute malnutrition. The situation is further aggravated by the negative impact of the poor Deyr ‘10 rainfall performance manifested by crop failure and poor livestock production which has significantly affected household access to cereals, milk and income.

This project aims to increase access to quality nutrition services through Outpatient Therapeutic Feeding and Supplemenatary feeding interventions, micronutrient supplementation, deworming, and health and nutrition education programs through the establishment of 5 Outpatient Therapeutic Program centers and 23 Supplementary Feeding Program sites as well as addressing some of the WASH factors that predispose children to acute malnutrition. The project will be carried out in Beled Xawa,Luuq and Dollow districts of Gedo region.                                                                                                                                                                                                                                                                                                                                                                                                                       

CHF-DMA-0489-141 “Prevention and treatment of severe and moderate acute malnutrition through integrated therapeutic and supplementary feeding programe in Jilib and Afmadow districts” – 375,213$                                                                                                  

FSNAU post dyer analysis has shows an alarming nutritional situation in middle and lower Juba. APD weekly and monthly reports from the Jilib and Afmadow nutrition feeding centers shows urgent humanitarian need in the area.

More than 16,500 acutely malnourished children in juba are found in Afmadow and Jilib districts. Due to the combination of food insecurity, lack of safe water and sanitation and reduced access to dietary diversity as livestock migrate in search of water and pasture the meal pattern of poor household change from 3 to 2 or 1 meal a day, <5 children are therefore more susceptible to neglect and death.

 APD appeal to CHF to support 6000 acutely malnourished <5 children in 20 centers. APD is currently running supplementary feeding program in 14 locations in Jilib and Afmadow districts, this program is supported by UNICEF Somalia through cash and required supplies. APD is also currently running and planned for more livelihood programs in the two districts. The livelihood program is meant to maintain and restore resilient for poor household who are greatly susceptible to constant shocks.  

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